Mikeska, Cheryl Diane
Mikeska, Cheryl Diane is an individual health care provider with primary practice located at 2813 Apple Creek Cir , Bryan TX 77802-2904. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mikeska, Cheryl Diane can be contacted via phone (979) 774-5011.Contact Information
Primary practice address
2813 Apple Creek Cir
Bryan TX 77802-2904
Phone: (979) 774-5011
Fax: (979) 774-5011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 12244 | Texas |
Profile Details
| NPI number | 1295991958 |
|---|---|
| LBN Legal business name | Mikeska, Cheryl Diane |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2008 |
| Last updated | Aug 1st, 2008 - about 18 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 | 1295991958 | NPPES |
| Texas | MEDICAID | 1426462-01 |
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