Mikloucich, Jerome Joseph
Mikloucich, Jerome Joseph is an sole proprietor health care provider with primary practice located at 276-280 Robinson St , Binghamton NY 13904-1659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mikloucich, Jerome Joseph can be contacted via phone (607) 722-2769.Contact Information
Primary practice address
276-280 Robinson St
Binghamton NY 13904-1659
Phone: (607) 722-2769
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 252865 | New York |
Profile Details
| NPI number | 1114059185 |
|---|---|
| LBN Legal business name | Mikloucich, Jerome Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jul 17th, 2009 - about 16 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 | 1114059185 | NPPES |
| New York | MEDICAID | 03113559 |
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