Mironer, Yevgeny Eugene

Mironer, Yevgeny Eugene is an individual health care provider with primary practice located at 279 E Kennedy St , Spartanburg SC 29302-1912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Mironer, Yevgeny Eugene can be contacted via phone (864) 583-0053.

Contact Information

Primary practice address
279 E Kennedy St Spartanburg SC 29302-1912
Phone: (864) 583-0053
Fax: (864) 583-0390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 200200419 North Carolina
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 184375 South Carolina

Profile Details

NPI number 1992728141
LBN Legal business name Mironer, Yevgeny Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 29th, 2021 - about 3 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 1992728141 NPPES
North Carolina Other 013KE BC
North Carolina MEDICAID GP2967 BC
North Carolina Other 571049338 BC
North Carolina MEDICAID 89013KE BC
North Carolina MEDICAID GP1456 BC

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