Mikac, Andrew John
Mikac, Andrew John is an individual health care provider with primary practice located at Elm And Carlton Streets , Buffalo NY 14263. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Mikac, Andrew John can be contacted via phone (716) 845-2300.Contact Information
Primary practice address
Elm And Carlton Streets
Buffalo NY 14263
Phone: (716) 845-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 021805 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 021805 | New York |
Profile Details
| NPI number | 1750880548 |
|---|---|
| LBN Legal business name | Mikac, Andrew John |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2018 |
| Last updated | Jan 22nd, 2021 - about 5 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 | 1750880548 | NPPES |
| New York | MEDICAID | 05077761 |
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