Mickey, Adam Dean

Mickey, Adam Dean is an individual health care provider with primary practice located at 2242 W Roosevelt Blvd Ste A , Monroe NC 28110. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mickey, Adam Dean can be contacted via phone (704) 220-1904.

Contact Information

Primary practice address
2242 W Roosevelt Blvd Ste A Monroe NC 28110
Phone: (704) 220-1904
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9108348 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-07049 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-07049 North Carolina

Profile Details

NPI number 1073917209
LBN Legal business name Mickey, Adam Dean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2014
Last updated Jun 10th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1073917209 NPPES
Georgia MEDICAID 003156207A
Georgia MEDICAID 013627200

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