Mielke, Cary H
Mielke, Cary H is an individual health care provider with primary practice located at 3100 Samford Ave , Shreveport LA 71103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Mielke, Cary H can be contacted via phone (318) 226-3306.Contact Information
Primary practice address
3100 Samford Ave
Shreveport LA 71103
Phone: (318) 226-3306
Fax: (318) 226-3319
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 32198 | Minnesota |
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 32198 | Minnesota |
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 309011 | Louisiana |
Profile Details
NPI number | 1568549574 |
---|---|
LBN Legal business name | Mielke, Cary H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2006 |
Last updated | Apr 16th, 2019 - about 5 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 | 1568549574 | NPPES |
Minnesota | MEDICAID | 642085100 | |
Minnesota | MEDICAID | 2484931 |
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