Mikulski, Paul Matthew
Mikulski, Paul Matthew is an individual health care provider with primary practice located at 5929 N Mobile Ave , Chicago IL 60646-5330. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Mikulski, Paul Matthew can be contacted via phone (773) 573-6348.Contact Information
Primary practice address
5929 N Mobile Ave
Chicago IL 60646-5330
Phone: (773) 573-6348
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | Illinois |
Profile Details
| NPI number | 1376564807 |
|---|---|
| LBN Legal business name | Mikulski, Paul Matthew |
| Credentials | D.C., C.C.N. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1376564807 | NPPES |
| Illinois | Other | 01635895 | BCBS |
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