Mikelson, Paul S
Mikelson, Paul S is an sole proprietor health care provider with primary practice located at 360 W Butterfield Rd #230, Elmhurst IL 60126. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Mikelson, Paul S can be contacted via phone (630) 833-1800.Contact Information
Primary practice address
360 W Butterfield Rd #230
Elmhurst IL 60126
Phone: (630) 833-1800
Fax: (630) 833-1833
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 056003882 | Illinois |
Profile Details
NPI number | 1376753343 |
---|---|
LBN Legal business name | Mikelson, Paul S |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 22nd, 2007 |
Last updated | Nov 10th, 2011 - about 14 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 | 1376753343 | NPPES |
Illinois | Other | 977378 | OT REGISTRATION NUMBER |
Illinois | Other | 056003882 | OT REGISTRATION NUMBER |
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