Mirabelli, Maurizio

Mirabelli, Maurizio is an individual health care provider with primary practice located at 1903 10Th Ave , Port Huron MI 48060-3105. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Mirabelli, Maurizio can be contacted via phone (810) 985-3200.

Contact Information

Primary practice address
1903 10Th Ave Port Huron MI 48060-3105
Fax: (810) 985-3752
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901016443 Michigan

Profile Details

NPI number 1235268434
LBN Legal business name Mirabelli, Maurizio
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jun 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235268434 NPPES
Michigan Other 0G41022 BCBS MEDICAL
Michigan Other 190009435 BCBS MEDICAL

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