Mickey, Aileen Ann

Mickey, Aileen Ann is an individual health care provider with primary practice located at 12911 120Th Ave Ne Evergreen Pulmonary Care Center, Suite G-105, Kirkland WA 98034-3027. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Mickey, Aileen Ann can be contacted via phone (425) 899-6972.

Contact Information

Primary practice address
12911 120Th Ave Ne Evergreen Pulmonary Care Center, Suite G-105 Kirkland WA 98034-3027
Fax: (425) 899-6970
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD 60074650 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD 60074650 Washington

Profile Details

NPI number 1235125188
LBN Legal business name Mickey, Aileen Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jan 5th, 2010 - about 16 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 1235125188 NPPES
New Jersey MEDICAID 3145883
New Jersey MEDICAID 8550485

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