Mickelson, Steven Allen
Mickelson, Steven Allen is an individual health care provider with primary practice located at 237 W Lincoln Ave , Fall Creek WI 54742-9362. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mickelson, Steven Allen can be contacted via phone (715) 877-2880.Contact Information
Primary practice address
237 W Lincoln Ave
Fall Creek WI 54742-9362
Phone: (715) 877-2880
Fax: (715) 877-3451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1316-012 | Wisconsin |
Profile Details
| NPI number | 1528156478 |
|---|---|
| LBN Legal business name | Mickelson, Steven Allen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528156478 | NPPES |
| Wisconsin | MEDICAID | 38827700 |
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