Mirrer, Eugene
Mirrer, Eugene is an individual health care provider with primary practice located at 171 Grandview Ave Suite 103, Waterbury CT 06708-2517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mirrer, Eugene can be contacted via phone (203) 757-8919.Contact Information
Primary practice address
171 Grandview Ave Suite 103
Waterbury CT 06708-2517
Phone: (203) 757-8919
Fax: (203) 756-4697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 014739 | Connecticut |
Profile Details
| NPI number | 1619070646 |
|---|---|
| LBN Legal business name | Mirrer, Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1619070646 | NPPES |
| Connecticut | Other | 070000161 | MEDICARE PROVIDER ID# |
| Connecticut | Other | 368 | MEDICARE PROVIDER ID# |
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