Mickish, Alan Bart
Mickish, Alan Bart is an sole proprietor health care provider with primary practice located at 400 W Plummer , Eastland TX 76448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mickish, Alan Bart can be contacted via phone (254) 629-1744.Contact Information
Primary practice address
400 W Plummer
Eastland TX 76448
Phone: (254) 629-1744
Fax: (254) 629-3904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E1059 | Texas |
Profile Details
| NPI number | 1215045240 |
|---|---|
| LBN Legal business name | Mickish, Alan Bart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Oct 26th, 2020 - about 4 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 | 1215045240 | NPPES |
| Texas | MEDICAID | 1210627-01 |
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