Mikolajewski, Shane Michael

Mikolajewski, Shane Michael is an individual health care provider with primary practice located at 7219 N Litchfield Rd , Luke Afb AZ 85309-1529. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mikolajewski, Shane Michael can be contacted via phone (623) 856-2833.

Contact Information

Primary practice address
7219 N Litchfield Rd Luke Afb AZ 85309-1529
Phone: (623) 856-2833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1962170399
LBN Legal business name Mikolajewski, Shane Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2021
Last updated Nov 1st, 2022 - about 2 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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