Mirus, Carol S

Mirus, Carol S is an sole proprietor health care provider with primary practice located at 1103 Fortune Ave , Panama City FL 32401-1831. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Nursing Service Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Mirus, Carol S can be contacted via phone (850) 769-6188.

Contact Information

Primary practice address
1103 Fortune Ave Panama City FL 32401-1831
Phone: (850) 769-6188
Fax: (850) 769-1261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT1140 Florida
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN56361-2 Florida

Profile Details

NPI number 1194889790
LBN Legal business name Mirus, Carol S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1194889790 NPPES
Florida Other Z2167 BLUE CROSS BLUE SHIELD

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