National Provider Identifier Database

LORIN MICKELSEN IV, DPM – NPI #1689058356
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

LORIN MICKELSEN IV, DPM
4233 GATEWAY BLVD
NEWBURGH, IN47630
Phone: 812-858-5786
Fax: 812-490-4512
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for LORIN MICKELSEN IV

NPI Number 1689058356
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/13/2015
Last updated 11/19/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • IN License #: 07001281A
  • KY License #: 00433
  • KY License #: 243967
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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