Mijares, Josel V

Mijares, Josel V is an individual health care provider with primary practice located at 1116 Millis Ave , Boonville IN 47601-2226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mijares, Josel V can be contacted via phone (812) 897-7383.

Contact Information

Primary practice address
1116 Millis Ave Boonville IN 47601-2226
Phone: (812) 897-7383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01047282 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01047282A Indiana

Profile Details

NPI number 1992707103
LBN Legal business name Mijares, Josel V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 26th, 2022 - about 2 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 1992707103 NPPES
Indiana MEDICAID 200138590

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