Mikkelsen, David J
Mikkelsen, David J is an individual health care provider with primary practice located at 1401 E Trent Ave Ste 200 , Spokane WA 99202-2902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mikkelsen, David J can be contacted via phone (509) 747-3147.Contact Information
Primary practice address
1401 E Trent Ave Ste 200
Spokane WA 99202-2902
Phone: (509) 747-3147
Fax: (509) 747-0020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD 00027440 | Washington |
Profile Details
| NPI number | 1861500431 |
|---|---|
| LBN Legal business name | Mikkelsen, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Nov 27th, 2023 - about last year |
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 | 1861500431 | NPPES |
| Washington | MEDICAID | 1058536 | |
| Washington | Other | 340005435 | |
| Washington | Other | 52287 |
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