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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1376753343 NPPES
Illinois Other 977378 OT REGISTRATION NUMBER
Illinois Other 056003882 OT REGISTRATION NUMBER

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