Mirkin, Craig
Mirkin, Craig is an individual health care provider with primary practice located at 3415 28Th St , Port Huron MI 48060-6931. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Mirkin, Craig can be contacted via phone (810) 984-5197.Contact Information
Primary practice address
3415 28Th St
Port Huron MI 48060-6931
Phone: (810) 984-5197
Fax: (810) 985-2150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 2901011180 | Michigan |
Profile Details
| NPI number | 1003983677 |
|---|---|
| LBN Legal business name | Mirkin, Craig |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1003983677 | NPPES |
| Michigan | MEDICAID | 4046170 |
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