Mickelson, Scot

Mickelson, Scot is an individual health care provider with primary practice located at 3318 N 14Th St , Bismarck ND 58503-1614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mickelson, Scot can be contacted via phone (701) 323-8870.

Contact Information

Primary practice address
3318 N 14Th St Bismarck ND 58503-1614
Phone: (701) 323-8870
Fax: (701) 323-8305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13730 North Dakota

Profile Details

NPI number 1902247703
LBN Legal business name Mickelson, Scot
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Dec 14th, 2022 - about 4 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 1902247703 NPPES
North Dakota MEDICAID 1468482

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