Reyes, Miriam Mercado
Reyes, Miriam Mercado is an sole proprietor health care provider with primary practice located at 3425 Stony Spring Cir , Louisville KY 40220-5437. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reyes, Miriam Mercado can be contacted via phone (502) 367-3100.Contact Information
Primary practice address
3425 Stony Spring Cir
Louisville KY 40220-5437
Phone: (502) 367-3100
Fax: (502) 491-6619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36075 | Kentucky |
Profile Details
| NPI number | 1063412724 |
|---|---|
| LBN Legal business name | Reyes, Miriam Mercado |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Mar 5th, 2010 - about 16 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 | 1063412724 | NPPES |
| Kentucky | MEDICAID | 64017189 |
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