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Contact Information

GERALD MICKLER, LAT, ATC
9500 E 16TH ST
INDIANAPOLIS, IN46229-2008
 Phone: 317-532-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for GERALD MICKLER · (Male)

NPI Number 1417279969
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 02/25/2010
Last updated 07/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 0849
  • IN License # 36001951A
Hospital affiliation(s) Not Available
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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