De Meireles, Mario Jc
De Meireles, Mario Jc is an individual health care provider with primary practice located at 23874 Kean St , Dearborn MI 48124-1851. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. De Meireles, Mario Jc can be contacted via phone (313) 359-0801.Contact Information
Primary practice address
23874 Kean St
Dearborn MI 48124-1851
Phone: (313) 359-0801
Fax: (313) 359-2674
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301061758 | Michigan |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 4301061758 | Michigan |
Profile Details
NPI number | 1255335097 |
---|---|
LBN Legal business name | De Meireles, Mario Jc |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Mar 31st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255335097 | NPPES |
Michigan | MEDICAID | 3326713 10 |
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