Myracle, John H

Myracle, John H is an individual health care provider with primary practice located at 114 Kinderton Blvd , Advance NC 27006-7302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Myracle, John H can be contacted via phone (336) 998-9742.

Contact Information

Primary practice address
114 Kinderton Blvd Advance NC 27006-7302
Fax: (336) 998-9410
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22603 North Carolina

Profile Details

NPI number 1871569046
LBN Legal business name Myracle, John H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 28th, 2012 - about 13 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 1871569046 NPPES
North Carolina MEDICAID 8961727

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