Mirate, Jacqueline Carinne
Mirate, Jacqueline Carinne is an sole proprietor health care provider with primary practice located at 1650 Haslett Rd , Haslett MI 48840-7615. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mirate, Jacqueline Carinne can be contacted via phone (517) 853-5588.Contact Information
Primary practice address
1650 Haslett Rd
Haslett MI 48840-7615
Phone: (517) 853-5588
Fax: (517) 853-5577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 5101018196 | Michigan |
Profile Details
| NPI number | 1316172992 |
|---|---|
| LBN Legal business name | Mirate, Jacqueline Carinne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2009 |
| Last updated | Nov 5th, 2013 - about 11 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 | 1316172992 | NPPES |
| Michigan | MEDICAID | 1316172992 | |
| Michigan | Other | 165330563 |
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