Mickler, Thomas A

Mickler, Thomas A is an individual health care provider with primary practice located at 51 North 39Th Street 223 West, Philadelphia PA 19104-4206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mickler, Thomas A can be contacted via phone (215) 662-8244.

Contact Information

Primary practice address
51 North 39Th Street 223 West Philadelphia PA 19104-4206
Phone: (215) 662-8244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD040073E Pennsylvania
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X MD040073E Pennsylvania

Profile Details

NPI number 1700829017
LBN Legal business name Mickler, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Sep 3rd, 2015 - about 10 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 1700829017 NPPES
Pennsylvania MEDICAID 0011048790005

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