Mickal, Donald Edmond

Mickal, Donald Edmond is an individual health care provider with primary practice located at 4640 Ambassador Caffery Pkwy , Lafayette LA 70508-6902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mickal, Donald Edmond 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 011180 Louisiana

Profile Details

NPI number 1306846902
LBN Legal business name Mickal, Donald Edmond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
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 1306846902 NPPES
Louisiana MEDICAID 1186350

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