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Contact Information

LORIN MICKELSEN IV, DPM
4233 GATEWAY BLVD
NEWBURGH, IN47630
 Phone: 812-858-5786
 Fax: 812-490-4512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LORIN MICKELSEN IV · (Male)

NPI # 1689058356
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/13/2015
Last updated 11/19/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 07001281A
  • KY License # 00433
  • KY License # 243967
Hospital affiliation(s)
  • DEACONESS HOSPITAL INC - (Acute Care)
    600 MARY ST
    EVANSVILLE, IN 47747
  • GIBSON GENERAL HOSPITAL - (Critical Access)
    1808 SHERMAN DR
    PRINCETON, IN 47670
  • METHODIST HOSPITAL - (Acute Care)
    1305 N ELM ST
    HENDERSON, KY 42420
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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