Mikich, Yelena

Mikich, Yelena is an individual health care provider with primary practice located at 3550 Main St Ste 302 , Springfield MA 01107-1088. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mikich, Yelena can be contacted via phone (413) 781-8290.

Contact Information

Primary practice address
3550 Main St Ste 302 Springfield MA 01107-1088
Phone: (413) 781-8290
Fax: (413) 737-8540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 154223 Massachusetts

Profile Details

NPI number 1306845672
LBN Legal business name Mikich, Yelena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 7th, 2019 - about 5 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 1306845672 NPPES
Massachusetts MEDICAID 3170772
Massachusetts Other 875845
Massachusetts Other 0011041
Massachusetts Other 154223
Massachusetts Other 07-40454
Massachusetts Other 000006125
Massachusetts Other 130833
Massachusetts Other 154223
Massachusetts Other 20583
Massachusetts Other 160036619
Massachusetts Other MIJ18169

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