Mierisch, Cay Michael
Mierisch, Cay Michael is an individual health care provider with primary practice located at 3620 Nw Samaritan Dr Ste 201 , Corvallis OR 97330-3785. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mierisch, Cay Michael can be contacted via phone (541) 768-6300.Contact Information
Primary practice address
3620 Nw Samaritan Dr Ste 201
Corvallis OR 97330-3785
Phone: (541) 768-6300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101-237955 | Virginia |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 0101237955 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD205645 | Oregon |
Profile Details
| NPI number | 1083688931 |
|---|---|
| LBN Legal business name | Mierisch, Cay Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Aug 13th, 2021 - about 3 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 | 1083688931 | NPPES |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | MEDICAID | 1083688931 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 3810010052 | INTOTAL |
| Virginia | Other | P00239901 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 371194700 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 540506332004 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
| Virginia | Other | 1083688931 | INTOTAL |
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