Mirro, John
Mirro, John is an individual health care provider with primary practice located at 101 E 87Th Ave Ste 420 , Merrillville IN 46410-7335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mirro, John can be contacted via phone (219) 758-5008.Contact Information
Primary practice address
101 E 87Th Ave Ste 420
Merrillville IN 46410-7335
Phone: (219) 758-5008
Fax: (219) 758-5009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01024382A | Indiana |
Profile Details
| NPI number | 1689678955 |
|---|---|
| LBN Legal business name | Mirro, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Mar 15th, 2023 - about 3 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 | 1689678955 | NPPES |
| Indiana | Other | 110044492 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 100187310A | RAILROAD MEDICARE |
| Indiana | Other | 000000085025 | RAILROAD MEDICARE |
| Indiana | Other | 9115389 | RAILROAD MEDICARE |
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