Mykkanen, John C
Mykkanen, John C is an individual health care provider with primary practice located at 14742 Plaza Dr Ste 101, Tustin CA 92780-8010. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mykkanen, John C can be contacted via phone (714) 838-1255.Contact Information
Primary practice address
14742 Plaza Dr Ste 101
Tustin CA 92780-8010
Phone: (714) 838-1255
Fax: (714) 838-5784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC24180 | Delaware |
Profile Details
| NPI number | 1679598015 |
|---|---|
| LBN Legal business name | Mykkanen, John C |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Oct 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679598015 | NPPES |
| California | Other | DC0241800 | BLUE SHIELD IDENTIFIER |
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