Mickelson, Tjode M
Mickelson, Tjode M is an sole proprietor health care provider with primary practice located at 105 Borga Building , Festus MO 63028-1136. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Mickelson, Tjode M can be contacted via phone (636) 937-3207.Contact Information
Primary practice address
105 Borga Building
Festus MO 63028-1136
Phone: (636) 937-3207
Fax: (636) 937-5307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2005036767 | Missouri |
Profile Details
| NPI number | 1104808435 |
|---|---|
| LBN Legal business name | Mickelson, Tjode M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
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