Mikielski, Kevin Joseph

Mikielski, Kevin Joseph is an individual health care provider with primary practice located at 4002 Schaper Avenue Suite A, Erie PA 16508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mikielski, Kevin Joseph can be contacted via phone (814) 866-2311.

Contact Information

Primary practice address
4002 Schaper Avenue Suite A Erie PA 16508
Phone: (814) 866-2311
Fax: (814) 860-8111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS012785 Pennsylvania

Profile Details

NPI number 1821036195
LBN Legal business name Mikielski, Kevin Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Feb 4th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821036195 NPPES
Pennsylvania MEDICAID 1016482560001

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