Search › Pennsylvania › 363AM0700X
Theresa Micknick, PAC
NPI 1164774261 · on the registry since 2012
Practice
- Address
- 165 Fallbrook St
Carbondale, PA 18433 - Phone
- (570) 282-3151
- Organisation at this address
- Tamrat Bekele Md
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania