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
Fax: (318) 226-3319
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568549574 NPPES
Minnesota MEDICAID 642085100
Minnesota MEDICAID 2484931

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