Mikelait, Eric

Mikelait, Eric is an sole proprietor health care provider with primary practice located at 915 Airport Rd , Jackson MI 49202-1850. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Mikelait, Eric can be contacted via phone (517) 740-6239.

Contact Information

Primary practice address
915 Airport Rd Jackson MI 49202-1850
Phone: (517) 740-6239
Fax: (517) 740-6239
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 05842 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801034036 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801034036 Michigan

Profile Details

NPI number 1134194467
LBN Legal business name Mikelait, Eric
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Sep 20th, 2013 - about 12 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 1134194467 NPPES
Michigan MEDICAID 1134194467
Michigan MEDICAID 698800800

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