Mirbaha, Mitchell M
Mirbaha, Mitchell M is an sole proprietor health care provider with primary practice located at 9815 Mackenzie Road , St Louis MO 63123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mirbaha, Mitchell M can be contacted via phone (314) 638-8785.Contact Information
Primary practice address
9815 Mackenzie Road
St Louis MO 63123
Phone: (314) 638-8785
Fax: (314) 638-8788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | R3761 | Missouri |
Profile Details
| NPI number | 1275602005 |
|---|---|
| LBN Legal business name | Mirbaha, Mitchell M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | May 12th, 2008 - about 17 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 | 1275602005 | NPPES |
| Missouri | MEDICAID | 20091403 |
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