Mikiska, Robert W

Mikiska, Robert W is an individual health care provider with primary practice located at 1550 S Pioneer Way Ste 100 , Moses Lake WA 98837-4637. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mikiska, Robert W can be contacted via phone (509) 793-9790.

Contact Information

Primary practice address
1550 S Pioneer Way Ste 100 Moses Lake WA 98837-4637
Phone: (509) 793-9790
Fax: (509) 764-3255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003227 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA10003227 Washington

Profile Details

NPI number 1659383842
LBN Legal business name Mikiska, Robert W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jun 18th, 2021 - about 3 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 1659383842 NPPES
Washington MEDICAID 8324220
Washington MEDICAID 1659383842

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