Marvin Mishkin is a Specialist in Saint Louis, Missouri. Marvin Mishkin practices all healthcare services and medical treatments related to Specialist. The NPI Number for Marvin Mishkin is 1619020849. The last update date is 2007-11-09.
Marvin Mishkin's current location address is 3009 N Ballas Rd, Saint Louis, Missouri. You can contact this provider via phone number 3144322323 and fax number 3144325328. The mailing address for Marvin Mishkin is 3009 N Ballas Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin Mishkin |
|---|---|
| Address | 3009 N Ballas Rd, Saint Louis, Missouri |
| Phone Number | 3144322323 |
| Fax Number | 3144325328 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619020849 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
| Address | 3009 N Ballas Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631312322 |
| Phone Number | 3144322323 |
| Fax Number | 3144325328 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | R2291 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18457 | MO | BCBS OF MO (ANTHEM) | |
| 43092556563080A | WPS TRICARE | ||
| 2282056002 | MO | CIGNA | |
| 4134393 | MO | AETNA | |
| A12810 | MO | MERCY HEALTH PLANS | |
| 90026 | MO | UNITED HEALTHCARE | |
| 130817 | HEALTHLINK | ||
| 2162 | MO | GROUP HEALTH PLAN |
Post Comment/ Review Below
What is the unique identifier code issued to Marvin Mishkin by the Centers for Medicare & Medicaid Services?
The Marvin Mishkin has been assigned the NPI (National Provider Identifier) 1619020849. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Marvin Mishkin's facilities are situated?
The facilities of Marvin Mishkin are physically located at the following address: 3009 N Ballas Rd, Saint Louis, MO, 631312322.
What is Marvin Mishkin's area of expertise and its corresponding taxonomy classification?
The Marvin Mishkin's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When did Marvin Mishkin receive its 1619020849 assignment?
The Marvin Mishkin was assigned its 1619020849 on 2007-01-19, which is the date when this unique identifier was issued to the organization.
When was the information regarding Marvin Mishkin most recently updated?
The details pertaining to the Marvin Mishkin, including its address, specialty, and other relevant information, were last refreshed on 2007-11-09.
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