Schicker, Michael David

Schicker, Michael David is an individual health care provider with primary practice located at 30544 Highway 200 Ste 102 , Ponderay ID 83852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Schicker, Michael David can be contacted via phone (208) 265-9817.

Contact Information

Primary practice address
30544 Highway 200 Ste 102 Ponderay ID 83852
Phone: (208) 265-9817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X OP60637340 Washington
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X O0947 Idaho
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X OP60637340 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X O0947 Idaho

Profile Details

NPI number 1861774291
LBN Legal business name Schicker, Michael David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2011
Last updated Jul 19th, 2019 - 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 1861774291 NPPES
Washington MEDICAID 8502734
Washington MEDICAID 807920700

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