Mickle, Clinzo P.
Mickle, Clinzo P. is an individual health care provider with primary practice located at 650 Pennsylvania Ave Se Suite 420, Washington DC 20003-4318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mickle, Clinzo P. can be contacted via phone (202) 547-9001.Contact Information
Primary practice address
650 Pennsylvania Ave Se Suite 420
Washington DC 20003-4318
Phone: (202) 547-9001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD036757 | District of Columbia |
Profile Details
| NPI number | 1104096361 |
|---|---|
| LBN Legal business name | Mickle, Clinzo P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Apr 6th, 2011 - about 14 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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