Mikles, Erika M

Mikles, Erika M is an individual health care provider with primary practice located at 1090 W Park Pl , Coeur D Alene ID 83814-2785. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mikles, Erika M can be contacted via phone (208) 215-2005.

Contact Information

Primary practice address
1090 W Park Pl Coeur D Alene ID 83814-2785
Phone: (208) 215-2005
Fax: (844) 807-3782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-586 Idaho

Profile Details

NPI number 1447204995
LBN Legal business name Mikles, Erika M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Aug 25th, 2021 - about 4 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 1447204995 NPPES
Idaho MEDICAID 807347700

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