Mixer, John L.

Mixer, John L. is an individual health care provider with primary practice located at 1150 E Sherman Blvd Suite 1600, Muskegon MI 49444-1871. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Mixer, John L. can be contacted via phone (231) 733-1571.

Contact Information

Primary practice address
1150 E Sherman Blvd Suite 1600 Muskegon MI 49444-1871
Phone: (231) 733-1571
Fax: (231) 733-5228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901011411 Michigan
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2901011411 Michigan

Profile Details

NPI number 1689643777
LBN Legal business name Mixer, John L.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 26th, 2010 - about 14 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 1689643777 NPPES
Michigan MEDICAID 4193792
Michigan MEDICAID 4204519
Michigan Other 97 0 F1 1036 0
Michigan Other D800376

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