Mickle, Latoya Denise
Mickle, Latoya Denise is an sole proprietor health care provider with primary practice located at 111 Doctor Cir , Columbia SC 29203-6502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mickle, Latoya Denise can be contacted via phone (800) 491-0909.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4225 | South Carolina |
Profile Details
| NPI number | 1487954079 |
|---|---|
| LBN Legal business name | Mickle, Latoya Denise |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2010 |
| Last updated | Nov 4th, 2022 - about 3 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 | 1487954079 | NPPES |
| South Carolina | MEDICAID | NP1833 |
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