Mikel, Gary

Mikel, Gary is an individual health care provider with primary practice located at 1310 Audrey Ln , Charleston IL 61920-2421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mikel, Gary can be contacted via phone (999) 999-9999.

Contact Information

Primary practice address
1310 Audrey Ln Charleston IL 61920-2421
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-055261 Illinois

Profile Details

NPI number 1962518746
LBN Legal business name Mikel, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Nov 17th, 2021 - 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.

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