Laur, Mike C.

Laur, Mike C. is an individual health care provider with primary practice located at 2667 E Gala Ct Ste 130 , Meridian ID 83642-2788. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Laur, Mike C. can be contacted via phone (208) 855-5955.

Contact Information

Primary practice address
2667 E Gala Ct Ste 130 Meridian ID 83642-2788
Phone: (208) 855-5955
Fax: (208) 459-8628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD000883 Georgia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P-274 Idaho

Profile Details

NPI number 1609846237
LBN Legal business name Laur, Mike C.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 12th, 2022 - about 4 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 1609846237 NPPES
Georgia MEDICAID 000855434A
Georgia MEDICAID 00855434B
Georgia MEDICAID 00855434C
Georgia Other 2701696
Georgia MEDICAID 332893
Georgia MEDICAID 10051376
Georgia Other 2308614
Georgia Other 2600040

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