Mickey, Pamela
Mickey, Pamela is an individual health care provider with primary practice located at 7127 Latour Ct , Alexandria VA 22315-3958. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Mickey, Pamela can be contacted via phone (703) 768-1928.Contact Information
Primary practice address
7127 Latour Ct
Alexandria VA 22315-3958
Phone: (703) 768-1928
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2306602006 | Virginia |
Profile Details
| NPI number | 1467684415 |
|---|---|
| LBN Legal business name | Mickey, Pamela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2009 |
| Last updated | Aug 10th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467684415 | NPPES |
| Virginia | Other | 2306602006 | STATE OF VIRGINIA |
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