King, Mika Marlaine

King, Mika Marlaine is an individual health care provider with primary practice located at 4640 Ambassador Caffery Pkwy , Lafayette LA 70508-6902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. King, Mika Marlaine can be contacted via phone (337) 984-1050.

Contact Information

Primary practice address
4640 Ambassador Caffery Pkwy Lafayette LA 70508-6902
Phone: (337) 984-1050
Fax: (337) 984-8776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 14418R Louisiana

Profile Details

NPI number 1053311563
LBN Legal business name King, Mika Marlaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Sep 24th, 2013 - about 13 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 1053311563 NPPES
Louisiana MEDICAID 1116670

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