Mickelson, Robert W

Mickelson, Robert W is an individual health care provider with primary practice located at 2809 Cleveland Blvd , Caldwell ID 83605-4443. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mickelson, Robert W can be contacted via phone (208) 455-1094.

Contact Information

Primary practice address
2809 Cleveland Blvd Caldwell ID 83605-4443
Phone: (208) 455-1094
Fax: (208) 455-1097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P5300 Idaho

Profile Details

NPI number 1205135498
LBN Legal business name Mickelson, Robert W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2011
Last updated Mar 28th, 2011 - about 15 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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