Mikus, Mark A.

Mikus, Mark A. is an sole proprietor health care provider with primary practice located at 9400 Mcknight Rd Ste 101 , Pittsburgh PA 15237-6007. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mikus, Mark A. can be contacted via phone (412) 369-7122.

Contact Information

Primary practice address
9400 Mcknight Rd Ste 101 Pittsburgh PA 15237-6007
Fax: (412) 369-7433
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS031540L Pennsylvania

Profile Details

NPI number 1912997735
LBN Legal business name Mikus, Mark A.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2005
Last updated May 21st, 2008 - about 18 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 1912997735 NPPES
Pennsylvania MEDICAID 1021208600001

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