Shin, Mira
Shin, Mira is an sole proprietor health care provider with primary practice located at 2050 Center Ave Ste 425, Fort Lee NJ 07024-4911. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Shin, Mira can be contacted via phone (201) 261-1000.Contact Information
Primary practice address
2050 Center Ave Ste 425
Fort Lee NJ 07024-4911
Phone: (201) 261-1000
Fax: (201) 261-1188
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 25MA07929700 | New Jersey |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 25MA07929700 | New Jersey |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2081H0002X | 25MA07929700 | New Jersey |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 25MA07929700 | New Jersey |
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 25MA07929700 | New Jersey |
Allopathic & Osteopathic Physicians / Sports Medicine | 2083S0010X | 25MA07929700 | New Jersey |
Profile Details
NPI number | 1659334498 |
---|---|
LBN Legal business name | Shin, Mira |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 11th, 2006 |
Last updated | Feb 5th, 2016 - about 8 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 | 1659334498 | NPPES |
New Jersey | Other | 9404330 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | 20-8831104 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | 20-8831104 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | 7687754 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | P3635893 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | 20-8831104 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | 3K6327 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | 161568 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | 20-8831104 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | 3696X1 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | 1151716 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | 1749400 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
New Jersey | Other | 3K2116 | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
Popular Providers
-
Siegel, Cara B
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Patterson, Dwayne E
7101 Creedmoor Rd Ste 109 , Raleigh NC 27613-1682 -
Pak, Hong Sik
2400 Lemoine Ave # 209 , Fort Lee NJ 07024-6204 -
Smith, Linda C
85 Ih 10 N Ste 202 , Beaumont TX 77707-2500 -
Weingarden, David Solomon
43555 Dalcoma Dr Ste 4, Clinton Township MI 48038-6310 -
Cox, Rodde D
1000 N Curtis Rd , Boise ID 83706 -
Santos, Maria B
1503 Buenos Aires Blvd Ste 180 , The Villages FL 32159 -
Tang, Nianjun
6064 S Fort Apache Rd , Las Vegas NV 89148-4534