Makos, Mignon M

Makos, Mignon M is an individual health care provider with primary practice located at 1050 W 10Th St , Rolla MO 65401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Makos, Mignon M can be contacted via phone (573) 364-9000.

Contact Information

Primary practice address
1050 W 10Th St Rolla MO 65401
Fax: (816) 364-3894
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X R2F40 Missouri

Profile Details

NPI number 1043203748
LBN Legal business name Makos, Mignon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Aug 22nd, 2019 - about 6 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 1043203748 NPPES
Missouri MEDICAID 202550208

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