Mikkelson, Thomas
Mikkelson, Thomas is an individual health care provider with primary practice located at 5900 Bond Ave , East Saint Louis IL 62207-2326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mikkelson, Thomas can be contacted via phone (618) 332-5212.Contact Information
Primary practice address
5900 Bond Ave
East Saint Louis IL 62207-2326
Phone: (618) 332-5212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Illinois |
Profile Details
| NPI number | 1881708410 |
|---|---|
| LBN Legal business name | Mikkelson, Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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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