Mir, Rachael Suzanne

Mir, Rachael Suzanne is an sole proprietor health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as her primary health care specialty. Mir, Rachael Suzanne can be contacted via phone (270) 798-8400.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 66786 Tennessee

Profile Details

NPI number 1073750337
LBN Legal business name Mir, Rachael Suzanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2009
Last updated Jan 8th, 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.

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