Mirabal, Sadie
Mirabal, Sadie is an sole proprietor health care provider with primary practice located at 741 Broadway , Newark NJ 07104-4309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mirabal, Sadie can be contacted via phone (973) 675-1900.Contact Information
Primary practice address
741 Broadway
Newark NJ 07104-4309
Phone: (973) 675-1900
Fax: (973) 676-1396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MB09839200 | New Jersey |
Profile Details
| NPI number | 1255674008 |
|---|---|
| LBN Legal business name | Mirabal, Sadie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2013 |
| Last updated | Jun 16th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255674008 | NPPES |
| New Jersey | MEDICAID | 0532398 |
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