Reyes, Mirabelle
Reyes, Mirabelle is an individual health care provider with primary practice located at 639 N Mulberry St , Elizabethtown KY 42701-1931. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Reyes, Mirabelle can be contacted via phone (270) 737-4600.Contact Information
Primary practice address
639 N Mulberry St
Elizabethtown KY 42701-1931
Phone: (270) 737-4600
Fax: (270) 737-1722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 02887 | Kentucky |
Profile Details
| NPI number | 1871598920 |
|---|---|
| LBN Legal business name | Reyes, Mirabelle |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jun 29th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871598920 | NPPES |
| Kentucky | MEDICAID | 64101090 |
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