Mirro, Joseph

Mirro, Joseph is an individual health care provider with primary practice located at 200 N Park St West Michigan Cancer Center, Kalamazoo MI 49007-3731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Mirro, Joseph can be contacted via phone (269) 910-6555.

Contact Information

Primary practice address
200 N Park St West Michigan Cancer Center Kalamazoo MI 49007-3731
Phone: (269) 910-6555
Fax: (269) 384-8610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 13553 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 4301100173 Michigan

Profile Details

NPI number 1427051200
LBN Legal business name Mirro, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated May 19th, 2014 - about 11 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 1427051200 NPPES
Indiana MEDICAID 200179770A
Indiana MEDICAID 64712789
Indiana MEDICAID 1534722
Indiana MEDICAID 00118886
Indiana MEDICAID 133070001
Indiana MEDICAID 1427051200
Indiana Other 1447261730
Indiana MEDICAID Q13553
Indiana MEDICAID 0528836
Indiana MEDICAID 100025910A
Indiana MEDICAID 209684901
Indiana MEDICAID 060495101
Indiana MEDICAID 1135121 00
Indiana MEDICAID 100249681-00
Indiana MEDICAID 422400000
Indiana MEDICAID 009914380
Indiana MEDICAID 3821400

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