Mimikos, Christina Marie
Mimikos, Christina Marie is an individual health care provider with primary practice located at 1250 Forest Ave Ste 301 , Portland ME 04103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as her primary health care specialty. Mimikos, Christina Marie can be contacted via phone (207) 797-5753.Contact Information
Primary practice address
1250 Forest Ave Ste 301
Portland ME 04103
Phone: (207) 797-5753
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 2016017553 | Missouri |
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 5101018354 | Michigan |
Profile Details
| NPI number | 1093944258 |
|---|---|
| LBN Legal business name | Mimikos, Christina Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2009 |
| Last updated | Oct 19th, 2018 - about 6 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 | 1093944258 | NPPES |
| Arkansas | MEDICAID | PENDING | |
| Arkansas | MEDICAID | PENDING |
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