Mimir Consulting, Inc. | |
1100 N Glebe Rd Ste 1010 Arlington VA 22201-5786 | |
(202) 257-9333 | |
(757) 321-6269 |
Full Name | Mimir Consulting, Inc. |
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Speciality | Psychologist |
Location | 1100 N Glebe Rd Ste 1010, Arlington, Virginia |
Authorized Official Name and Position | James P Polk (PRESIDENT) |
Authorized Official Contact | 8332231991 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mimir Consulting, Inc. Po Box 65053 Virginia Beach VA 23467-5053 Ph: (757) 714-1838 | Mimir Consulting, Inc. 1100 N Glebe Rd Ste 1010 Arlington VA 22201-5786 Ph: (202) 257-9333 |
NPI Number | 1447495619 |
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Provider Enumeration Date | 12/02/2008 |
Last Update Date | 08/21/2023 |
Certification Date | 08/21/2023 |
Medicare PECOS PAC ID | 6406911338 |
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Medicare Enrollment ID | O20090210000351 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447495619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | James P Polk |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831117837 PECOS PAC ID: 4486600525 Enrollment ID: I20090210000347 |
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