Mikkelson, Michael K
Mikkelson, Michael K is an sole proprietor health care provider with primary practice located at 181 Bluffton Rd Bldg G101G102 , Bluffton SC 29910-6221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mikkelson, Michael K can be contacted via phone (843) 757-5400.Contact Information
Primary practice address
181 Bluffton Rd Bldg G101G102
Bluffton SC 29910-6221
Phone: (843) 757-5400
Fax: (843) 757-2240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15315 | South Carolina |
Profile Details
| NPI number | 1972561496 |
|---|---|
| LBN Legal business name | Mikkelson, Michael K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Apr 18th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972561496 | NPPES |
| South Carolina | MEDICAID | 153157 |
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