Mirich, Thomas Milan

Mirich, Thomas Milan is an individual health care provider with primary practice located at 611 S Chestnut St Suite D, Ellensburg WA 98926-4815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mirich, Thomas Milan can be contacted via phone (509) 933-8700.

Contact Information

Primary practice address
611 S Chestnut St Suite D Ellensburg WA 98926-4815
Phone: (509) 933-8700
Fax: (509) 933-8705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 11582 Montana

Profile Details

NPI number 1952327025
LBN Legal business name Mirich, Thomas Milan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 15th, 2016 - about 10 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 1952327025 NPPES
Montana Other 99366 BLUE CROSS/BLUE SHIELD
Montana Other P00465648 BLUE CROSS/BLUE SHIELD
Montana MEDICAID 1952327025 BLUE CROSS/BLUE SHIELD

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