Mickler, Andrew Simon
Mickler, Andrew Simon is an sole proprietor health care provider with primary practice located at 3999 Dutchmans Ln Suburban Medical Plaza I Ste 2G, Louisville KY 40207-4729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mickler, Andrew Simon can be contacted via phone (502) 893-0491.Contact Information
Primary practice address
3999 Dutchmans Ln Suburban Medical Plaza I Ste 2G
Louisville KY 40207-4729
Phone: (502) 893-0491
Fax: (502) 895-7360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 19746 | Kentucky |
Profile Details
| NPI number | 1467450049 |
|---|---|
| LBN Legal business name | Mickler, Andrew Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Feb 29th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467450049 | NPPES |
| Kentucky | MEDICAID | 64197460 |
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