Mika, Brian

Mika, Brian is an individual health care provider with primary practice located at 200 S Herlong Ave Suite C, Rock Hill SC 29732-3399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mika, Brian can be contacted via phone (803) 323-2775.

Contact Information

Primary practice address
200 S Herlong Ave Suite C Rock Hill SC 29732-3399
Phone: (803) 323-2775
Fax: (803) 323-2776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 32598 South Carolina

Profile Details

NPI number 1073675799
LBN Legal business name Mika, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2006
Last updated Apr 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073675799 NPPES
South Carolina MEDICAID 325981

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