Mikell, Frank L

Mikell, Frank L is an individual health care provider with primary practice located at 619 E Mason St Suite 4P57, Springfield IL 62701-1034. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mikell, Frank L can be contacted via phone (217) 788-0706.

Contact Information

Primary practice address
619 E Mason St Suite 4P57 Springfield IL 62701-1034
Fax: (217) 788-0848
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036064044 Illinois

Profile Details

NPI number 1669582904
LBN Legal business name Mikell, Frank L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 2nd, 2008 - about 16 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 1669582904 NPPES
Illinois Other 036064044 RAILROAD
Illinois MEDICAID 036064044 RAILROAD

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