Mirate, Donald John
Mirate, Donald John is an individual health care provider with primary practice located at 2707 N Forrest St , Valdosta GA 31602-2057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mirate, Donald John can be contacted via phone (229) 244-8799.Contact Information
Primary practice address
2707 N Forrest St
Valdosta GA 31602-2057
Phone: (229) 244-8799
Fax: (229) 247-2609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 021261 | Georgia |
Profile Details
| NPI number | 1568456770 |
|---|---|
| LBN Legal business name | Mirate, Donald John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Oct 17th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568456770 | NPPES |
| Georgia | MEDICAID | 00300121A |
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