Mick, Nathan W
Mick, Nathan W is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mick, Nathan W can be contacted via phone (207) 662-7010.Contact Information
Primary practice address
22 Bramhall St
Portland ME 04102-3134
Phone: (207) 662-7010
Fax: (207) 662-7025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD16764 | Maine |
Profile Details
| NPI number | 1386743086 |
|---|---|
| LBN Legal business name | Mick, Nathan W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Feb 6th, 2013 - about 12 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 | 1386743086 | NPPES |
| Maine | MEDICAID | 2013801 |
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