Emig, Mimi

Emig, Mimi is an individual health care provider with primary practice located at 230 Michigan St Ne Suite 230, Grand Rapids MI 49503-2550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Emig, Mimi can be contacted via phone (616) 774-2822.

Contact Information

Primary practice address
230 Michigan St Ne Suite 230 Grand Rapids MI 49503-2550
Phone: (616) 774-2822
Fax: (616) 391-8665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301073780 Michigan

Profile Details

NPI number 1205817863
LBN Legal business name Emig, Mimi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Oct 29th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205817863 NPPES
Other 110D148350 / 0410939 BCBSM
MEDICAID 4900269 BCBSM

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