Mika, Virginia Helene

Mika, Virginia Helene is an individual health care provider with primary practice located at 317 N Faler Ave , Pinedale WY 82941. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mika, Virginia Helene can be contacted via phone (307) 367-6236.

Contact Information

Primary practice address
317 N Faler Ave Pinedale WY 82941
Phone: (307) 367-6236
Fax: (307) 367-3332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR532 Wyoming

Profile Details

NPI number 1376556886
LBN Legal business name Mika, Virginia Helene
Credentials MSOTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Feb 3rd, 2009 - about 15 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 1376556886 NPPES
Wyoming MEDICAID 119287600
Wyoming Other 312278

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