Micka, William

Micka, William is an individual health care provider with primary practice located at 1001 E Primrose St , Springfield MO 65807-5155. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Micka, William can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
1001 E Primrose St Springfield MO 65807-5155
Phone: (417) 875-3000
Fax: (417) 875-3383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2006006314 Missouri
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 2006006314 Missouri

Profile Details

NPI number 1376689729
LBN Legal business name Micka, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 27th, 2018 - about 8 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 1376689729 NPPES
Missouri Other 148380008 MISSOURI MEDICARE
Missouri MEDICAID 206426207 MISSOURI MEDICARE

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