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MR. NATHAN JAMES MICKELSON NPI 1114194230


NPI Information

NPI: 1114194230
Provider Name: MR. NATHAN JAMES MICKELSON
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
5100 W BROAD ST
COLUMBUS, OH
ZIP 43228
Phone: (614) 544-2089
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MR. Nathan James Mickelson is a student in an organized health care education training program in Columbus, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Nathan James Mickelson NPI is 1114194230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228-607
Phone: (614) 544-2089

The enumeration date for this NPI number is 5/8/2008 and was last updated on 5/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.