Mininsohn, Michael Joseph

Mininsohn, Michael Joseph is an individual health care provider with primary practice located at 8813 Waltham Woods Rd Suite 104, Baltimore MD 21234-2450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mininsohn, Michael Joseph can be contacted via phone (410) 661-4060.

Contact Information

Primary practice address
8813 Waltham Woods Rd Suite 104 Baltimore MD 21234-2450
Fax: (410) 661-5349
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D31189 Maryland
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X D31189 Maryland

Profile Details

NPI number 1942295886
LBN Legal business name Mininsohn, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Oct 21st, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942295886 NPPES
Maryland MEDICAID 378161500

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