Michael R. Mizenko, D.O., Inc.

LBN: Michael R. Mizenko, D.O., Inc.
Michael R. Mizenko, D.O., Inc. is an health care organization with primary practice located at 772 N High St Suite 201, Columbus OH 43215-1456. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Michael R. Mizenko, D.O., Inc. can be contacted via phone (614) 421-7722, or through Mizenko, Michael R. via phone (614) 421-7722.

Contact Information

Primary practice address
772 N High St Suite 201 Columbus OH 43215-1456
Phone: (614) 421-7722
Fax: (614) 421-7723
Website:
Map and Directions
Authorized official contact:
Name: Mizenko, Michael R. Doctor of Osteopathy (DO)
Phone: (614) 421-7722

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34004168 Ohio

Profile Details

NPI number 1518182666
LBN Legal business name Michael R. Mizenko, D.O., Inc.
DBA Doing business as
Authorized official Mizenko, Michael R. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518182666 NPPES
Ohio Other 111357000 MAGELLAN

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