Miknevich, Mary Ann

Miknevich, Mary Ann is an individual health care provider with primary practice located at 1350 Locust St Ste 409 , Pittsburgh PA 15219-4738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Miknevich, Mary Ann can be contacted via phone (412) 232-7608.

Contact Information

Primary practice address
1350 Locust St Ste 409 Pittsburgh PA 15219-4738
Phone: (412) 232-7608
Fax: (412) 281-3536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD025845E Pennsylvania

Profile Details

NPI number 1124026216
LBN Legal business name Miknevich, Mary Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jan 20th, 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 1124026216 NPPES
Pennsylvania MEDICAID 0009352390003

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