Aldridge, Mickey

Aldridge, Mickey is an individual health care provider with primary practice located at 239 Bowling Green Rd , Lexington MS 39095-5167. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Aldridge, Mickey can be contacted via phone (662) 834-1321.

Contact Information

Primary practice address
239 Bowling Green Rd Lexington MS 39095-5167
Phone: (662) 834-1321
Fax: (662) 834-5240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R656151 Mississippi

Profile Details

NPI number 1124142559
LBN Legal business name Aldridge, Mickey
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 19 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 1124142559 NPPES
Mississippi MEDICAID 0118986

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