Judith K Mickelson in Cincinnati - Specialist
Judith K Mickelson - NPI 1700876190
Judith K Mickelson is a Specialist in Cincinnati, Ohio. Judith K Mickelson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Judith K Mickelson is 1700876190. The last update date is 2021-10-14.
Judith K Mickelson's current location address is 3219 Clifton Avenue, Cincinnati, Ohio. You can contact this provider via phone number 5138611260 and fax number 5138728014. The mailing address for Judith K Mickelson is 3219 Clifton Avenue, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith K Mickelson |
|---|---|
| Address | 3219 Clifton Avenue, Cincinnati, Ohio |
| Phone Number | 5138611260 |
| Fax Number | 5138728014 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700876190 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2021-10-14 |
Provider Mailing Address Detail
| Address | 3219 Clifton Avenue |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452203099 |
| Phone Number | 5138611260 |
| Fax Number | 5138728014 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 35-078636 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2209176 | OH | -- | |
| 60068472 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Judith K Mickelson by the Centers for Medicare & Medicaid Services?
The Judith K Mickelson has been assigned the NPI (National Provider Identifier) 1700876190 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Judith K Mickelson is physically located?
The Judith K Mickelson is physically situated at the following address: 3219 Clifton Avenue, Cincinnati, OH, 452203099.
What is Judith K Mickelson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Judith K Mickelson is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700876190 to Judith K Mickelson?
The Centers for Medicare & Medicaid Services assigned the 1700876190 to Judith K Mickelson on 2005-10-26.
When was the information regarding Judith K Mickelson most recently updated?
The details pertaining to the Judith K Mickelson, including its address, specialty, and other relevant information, were last refreshed on 2021-10-14.