Mies, Carolyn

Mies, Carolyn is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Mies, Carolyn can be contacted via phone (215) 662-6503.

Contact Information

Primary practice address
3400 Spruce St Philadelphia PA 19104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD036040E Pennsylvania

Profile Details

NPI number 1033155221
LBN Legal business name Mies, Carolyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated May 14th, 2012 - about 12 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 1033155221 NPPES
Pennsylvania MEDICAID 0018537280001

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