Mirsky, Roman
Mirsky, Roman is an individual health care provider with primary practice located at 1111 6Th Ave , Des Moines IA 50314-2613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, which is considered as his primary health care specialty. Mirsky, Roman can be contacted via phone (515) 643-2667.Contact Information
Primary practice address
1111 6Th Ave
Des Moines IA 50314-2613
Phone: (515) 643-2667
Fax: (515) 643-2978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | 36065 | Iowa |
Profile Details
| NPI number | 1114915527 |
|---|---|
| LBN Legal business name | Mirsky, Roman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1114915527 | NPPES |
| Iowa | MEDICAID | 0460709 |
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