Pickert, Michael A
Pickert, Michael A is an individual health care provider with primary practice located at 12701 Padgett Switch Rd , Irvington AL 36544-4011. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Pickert, Michael A can be contacted via phone (251) 824-2174.Contact Information
Primary practice address
12701 Padgett Switch Rd
Irvington AL 36544-4011
Phone: (251) 824-2174
Fax: (251) 824-3444
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1-143378 | Alabama |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-143378 | Alabama |
Profile Details
NPI number | 1275090300 |
---|---|
LBN Legal business name | Pickert, Michael A |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 25th, 2019 |
Last updated | Dec 27th, 2021 - about 3 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 | 1275090300 | NPPES |
Alabama | MEDICAID | 236830 |
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