Mickel, Andre Kevin

Mickel, Andre Kevin is an individual health care provider with primary practice located at 3609 Park East Suite 407, Beachwood OH 44122. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Mickel, Andre Kevin can be contacted via phone (216) 831-3636.

Contact Information

Primary practice address
3609 Park East Suite 407 Beachwood OH 44122
Phone: (216) 831-3636
Fax: (216) 831-3639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 30019947 Ohio

Profile Details

NPI number 1437218963
LBN Legal business name Mickel, Andre Kevin
Credentials DDS MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
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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