Mikhailova, Vera

Mikhailova, Vera is an individual health care provider with primary practice located at 1100 W 10Th St Suite 175, Rolla MO 65401-2937. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mikhailova, Vera can be contacted via phone (573) 341-9163.

Contact Information

Primary practice address
1100 W 10Th St Suite 175 Rolla MO 65401-2937
Fax: (573) 368-4248
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2002027391 Missouri

Profile Details

NPI number 1942347190
LBN Legal business name Mikhailova, Vera
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated May 9th, 2013 - about 13 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 1942347190 NPPES
Missouri MEDICAID 208413708

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