Mirkin, Gene S
Mirkin, Gene S is an individual health care provider with primary practice located at 10901 Connecticut Ave Suite 200, Kensington MD 20895-1645. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mirkin, Gene S can be contacted via phone (301) 949-2000.Contact Information
Primary practice address
10901 Connecticut Ave Suite 200
Kensington MD 20895-1645
Phone: (301) 949-2000
Fax: (301) 949-2002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1071 | Maryland |
Profile Details
| NPI number | 1053381095 |
|---|---|
| LBN Legal business name | Mirkin, Gene S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Nov 28th, 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 | 1053381095 | NPPES |
| Maryland | MEDICAID | 061368100 | |
| Maryland | MEDICAID | 442183301 |
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