Ehntholt, Mikel Shea

Ehntholt, Mikel Shea is an individual health care provider with primary practice located at 1600 Haddon Ave Fl 6 , Camden NJ 08103-3101. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ehntholt, Mikel Shea can be contacted via phone (856) 757-3500.

Contact Information

Primary practice address
1600 Haddon Ave Fl 6 Camden NJ 08103-3101
Phone: (856) 757-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 25MA11936200 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA11936200 New Jersey

Profile Details

NPI number 1790139780
LBN Legal business name Ehntholt, Mikel Shea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2016
Last updated Sep 18th, 2024 - about 2 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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