Mickles, Alicia Jamelle
Mickles, Alicia Jamelle is an individual health care provider with primary practice located at 26000 Lake Shore Blvd , Euclid OH 44132-1110. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Dentist is her primary health care specialty. Mickles, Alicia Jamelle can be contacted via phone (216) 289-0890.Contact Information
Primary practice address
26000 Lake Shore Blvd
Euclid OH 44132-1110
Phone: (216) 289-0890
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11769 | Connecticut |
| Dental Providers / Dentist | 122300000X | 10030 | Tennessee |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | 30.025418 | Ohio |
Profile Details
| NPI number | 1760897714 |
|---|---|
| LBN Legal business name | Mickles, Alicia Jamelle |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2014 |
| Last updated | Aug 15th, 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.
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