Mikuski, Melissa M

Mikuski, Melissa M is an individual health care provider with primary practice located at 718 Jupiter Dr , Madison WI 53718-2950. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Mikuski, Melissa M can be contacted via phone (608) 663-8600.

Contact Information

Primary practice address
718 Jupiter Dr Madison WI 53718-2950
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 12206-24 Wisconsin

Profile Details

NPI number 1093214371
LBN Legal business name Mikuski, Melissa M
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2018
Last updated Feb 1st, 2018 - about 6 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 1093214371 NPPES
Wisconsin Other 12206-24 PHYSICAL THERAPIST

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