Mire, Kristina Maria
Mire, Kristina Maria is an individual health care provider with primary practice located at 200 Henry Clay Ave Lsu Department Of Pediatrics, New Orleans LA 70118-5720. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Mire, Kristina Maria can be contacted via phone (504) 896-9329.Contact Information
Primary practice address
200 Henry Clay Ave Lsu Department Of Pediatrics
New Orleans LA 70118-5720
Phone: (504) 896-9329
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1194915421 |
|---|---|
| LBN Legal business name | Mire, Kristina Maria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Jul 3rd, 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 | 1194915421 | NPPES |
| Louisiana | MEDICAID | 1508331 |
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