Mikacenic, Carmen
Mikacenic, Carmen is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Mikacenic, Carmen can be contacted via phone (206) 598-4333.Contact Information
Primary practice address
1959 Ne Pacific St
Seattle WA 98195-0001
Phone: (206) 598-4333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60084675 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD60084675 | Washington |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD60084675 | Washington |
Profile Details
| NPI number | 1578615241 |
|---|---|
| LBN Legal business name | Mikacenic, Carmen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Nov 20th, 2014 - about 10 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 | 1578615241 | NPPES |
| Washington | MEDICAID | 1578615241 |
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