Mirsen, Thomas R
Mirsen, Thomas R is an individual health care provider with primary practice located at 3 Cooper Plz Suite 215 (Neurology), Camden NJ 08103-1438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mirsen, Thomas R can be contacted via phone (856) 342-2445.Contact Information
Primary practice address
3 Cooper Plz Suite 215 (Neurology)
Camden NJ 08103-1438
Phone: (856) 342-2445
Fax: (856) 964-0504
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MA54529 | New Jersey |
Profile Details
NPI number | 1902980352 |
---|---|
LBN Legal business name | Mirsen, Thomas R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2006 |
Last updated | Apr 25th, 2016 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902980352 | NPPES |
Other | 010003879 | AMERICHOICE | |
Other | P440700 | AMERICHOICE | |
Other | 7808502 | AMERICHOICE | |
Other | 3K6143 | AMERICHOICE | |
Other | 1024720 | AMERICHOICE | |
Other | 1243169 | AMERICHOICE | |
Other | 567399 | AMERICHOICE | |
Other | 0388541000 | AMERICHOICE | |
Other | 0518267 | AMERICHOICE | |
MEDICAID | 0651800 | AMERICHOICE | |
Other | 110084266 | AMERICHOICE | |
Other | 13517 | AMERICHOICE |
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