Mirick, John

Mirick, John is an individual health care provider with primary practice located at 2075 N Arrowhead Ave , San Bernardino CA 92415-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mirick, John can be contacted via phone (909) 881-0390.

Contact Information

Primary practice address
2075 N Arrowhead Ave San Bernardino CA 92415-0001
Phone: (909) 881-0390
Fax: (909) 881-0391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1588852370
LBN Legal business name Mirick, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2007
Last updated Oct 5th, 2007 - 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.

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