Mickey, John Joseph
Mickey, John Joseph is an sole proprietor health care provider with primary practice located at 110 Hospital Dr , Lafayette LA 70503-2819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mickey, John Joseph can be contacted via phone (337) 232-2900.Contact Information
Primary practice address
110 Hospital Dr
Lafayette LA 70503-2819
Phone: (337) 232-2900
Fax: (337) 232-2990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14418 | Louisiana |
Profile Details
| NPI number | 1710988241 |
|---|---|
| LBN Legal business name | Mickey, John Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Sep 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710988241 | NPPES |
| Louisiana | Other | 60054546 | RR MEDICARE |
| Louisiana | MEDICAID | 1193411 | RR MEDICARE |
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