Michael S. Mitnik, M.D.,Pc

LBN: Michael S. Mitnik, M.D.,Pc
Michael S. Mitnik, M.D.,Pc is an health care organization with primary practice located at 4801 Mcmahon Blvd Nw Suite 155, Albuquerque NM 87114-5090. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Michael S. Mitnik, M.D.,Pc can be contacted via phone (505) 893-2880, or through Mitnik, Michael Sumner via phone (505) 893-2880.

Contact Information

Primary practice address
4801 Mcmahon Blvd Nw Suite 155 Albuquerque NM 87114-5090
Phone: (505) 893-2880
Fax: (505) 893-2886
Website:
Map and Directions
Authorized official contact:
Name: Mitnik, Michael Sumner Doctor of Medicine (MD)
Phone: (505) 893-2880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 84223 New Mexico

Profile Details

NPI number 1134435407
LBN Legal business name Michael S. Mitnik, M.D.,Pc
DBA Doing business as
Authorized official Mitnik, Michael Sumner Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2010
Last updated Aug 25th, 2010 - about 16 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 1134435407 NPPES
New Mexico MEDICAID 33589
New Mexico Other 2124384

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