Mlakar, Joseph M

Mlakar, Joseph M is an individual health care provider with primary practice located at 9933 Dupont Circle Dr W Ste 120 , Fort Wayne IN 46825-1629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Mlakar, Joseph M can be contacted via phone (260) 490-4673.

Contact Information

Primary practice address
9933 Dupont Circle Dr W Ste 120 Fort Wayne IN 46825-1629
Phone: (260) 490-4673
Fax: (260) 490-2165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 01045481A Indiana

Profile Details

NPI number 1801897244
LBN Legal business name Mlakar, Joseph M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 4th, 2022 - about 2 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 1801897244 NPPES
Indiana MEDICAID 200090070
Indiana MEDICAID 2061487

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