Mikos, David

Mikos, David is an individual health care provider with primary practice located at 202 State St , North Haven CT 06473-2207. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Chiropractic Providers / Chiropractor. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Mikos, David can be contacted via phone (203) 239-4274.

Contact Information

Primary practice address
202 State St North Haven CT 06473-2207
Phone: (203) 239-4274
Fax: (203) 239-4290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 004290 Connecticut
Chiropractic Providers / Chiropractor 111N00000X 001238 Connecticut

Profile Details

NPI number 1104826890
LBN Legal business name Mikos, David
Credentials D.C., P.T., M.C.T.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jan 13th, 2016 - about 9 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 1104826890 NPPES
Connecticut MEDICAID 008050328 (CHIRO)
Connecticut MEDICAID 004168086 (PT)

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