Mixon, Myra Elaine

Mixon, Myra Elaine is an individual health care provider with primary practice located at 13336 E Warren Ave , Detroit MI 48215-2112. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Mixon, Myra Elaine can be contacted via phone (313) 822-6940.

Contact Information

Primary practice address
13336 E Warren Ave Detroit MI 48215-2112
Phone: (313) 822-6940
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1689909426
LBN Legal business name Mixon, Myra Elaine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2009
Last updated Oct 13th, 2009 - about 17 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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