Mitko, John
Mitko, John is an sole proprietor health care provider with primary practice located at 680 Centre St , Brockton MA 02302-3308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mitko, John can be contacted via phone (508) 941-7000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 1019022 | Massachusetts |
Profile Details
| NPI number | 1023495520 |
|---|---|
| LBN Legal business name | Mitko, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2015 |
| Last updated | Sep 2nd, 2025 - about last year |
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 | 1023495520 | NPPES |
| Illinois | MEDICAID | 36156800 |
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