Mickelson, Kurt Phillip

Mickelson, Kurt Phillip is an sole proprietor health care provider with primary practice located at 15100 Rescue Way , Clearwater FL 33762. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Mickelson, Kurt Phillip can be contacted via phone (727) 535-1437.

Contact Information

Primary practice address
15100 Rescue Way Clearwater FL 33762
Phone: (727) 535-1437
Fax: (727) 535-4190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1881782332
LBN Legal business name Mickelson, Kurt Phillip
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 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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