Mizenko, John J

Mizenko, John J is an individual health care provider with primary practice located at 4100 Warrensville Center Rd Suite 203, Warrensville Heights OH 44122-7024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mizenko, John J can be contacted via phone (216) 561-0801.

Contact Information

Primary practice address
4100 Warrensville Center Rd Suite 203 Warrensville Heights OH 44122-7024
Phone: (216) 561-0801
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 34001263M Ohio

Profile Details

NPI number 1417958703
LBN Legal business name Mizenko, John J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
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 1417958703 NPPES
Ohio MEDICAID 0089961

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