Mickey, Robert W

Mickey, Robert W is an individual health care provider with primary practice located at 2041 Georgia Ave Nw , Washington DC 20060-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as his primary health care specialty. Mickey, Robert W can be contacted via phone (202) 865-6611.

Contact Information

Primary practice address
2041 Georgia Ave Nw Washington DC 20060-0001
Phone: (202) 865-6611
Fax: (202) 865-6212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X MD13015 District of Columbia

Profile Details

NPI number 1508974239
LBN Legal business name Mickey, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jan 24th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508974239 NPPES
Maryland MEDICAID 091551300
Maryland MEDICAID 07119143
Maryland MEDICAID 029900600

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