Mirkin, Gene S

Mirkin, Gene S is an individual health care provider with primary practice located at 10901 Connecticut Ave Suite 200, Kensington MD 20895-1645. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mirkin, Gene S can be contacted via phone (301) 949-2000.

Contact Information

Primary practice address
10901 Connecticut Ave Suite 200 Kensington MD 20895-1645
Phone: (301) 949-2000
Fax: (301) 949-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1071 Maryland

Profile Details

NPI number 1053381095
LBN Legal business name Mirkin, Gene S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Nov 28th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053381095 NPPES
Maryland MEDICAID 061368100
Maryland MEDICAID 442183301

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