Mielke, Marcia Lynn

Mielke, Marcia Lynn is an individual health care provider with primary practice located at 8383 W Alameda Ave , Lakewood CO 80226-3007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mielke, Marcia Lynn can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
8383 W Alameda Ave Lakewood CO 80226-3007
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 929 Colorado

Profile Details

NPI number 1114953973
LBN Legal business name Mielke, Marcia Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jan 24th, 2022 - about 4 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 1114953973 NPPES
Colorado MEDICAID 80171769
Colorado Other 970019016

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