Mirkin, Dana
Mirkin, Dana is an individual health care provider with primary practice located at 918 E 32Nd St , Austin TX 78705-2704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Medical Toxicology is his primary health care specialty. Mirkin, Dana can be contacted via phone (512) 404-8195.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Toxicology | 2083T0002X | G7554 | Texas |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | G7554 | Texas |
Profile Details
| NPI number | 1376550418 |
|---|---|
| LBN Legal business name | Mirkin, Dana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1376550418 | NPPES |
| Oregon | MEDICAID | 288126 | |
| Oregon | Other | 0185217 | |
| Oregon | Other | 140582 |
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