Gokhale, Mira

Gokhale, Mira is an individual health care provider with primary practice located at 1490 W Center Rd , Essexville MI 48732-2112. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gokhale, Mira can be contacted via phone (989) 892-1565.

Contact Information

Primary practice address
1490 W Center Rd Essexville MI 48732-2112
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302036073 Michigan

Profile Details

NPI number 1124268750
LBN Legal business name Gokhale, Mira
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2009
Last updated Feb 22nd, 2009 - about 16 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 1124268750 NPPES
Michigan MEDICAID 1760591200

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