Mickey, Donald Scott

Mickey, Donald Scott is an individual health care provider with primary practice located at 200 Beatty St , Medford OR 97501-5811. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Mickey, Donald Scott can be contacted via phone (541) 774-4812.

Contact Information

Primary practice address
200 Beatty St Medford OR 97501-5811
Phone: (541) 774-4812
Fax: (541) 774-7979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1952774101
LBN Legal business name Mickey, Donald Scott
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2015
Last updated Oct 23rd, 2019 - about 7 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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