Bodily, Brent Mitchell
Bodily, Brent Mitchell is an individual health care provider with primary practice located at 1 Jarrett White Road Tripler Army Medical Center, Tamc HI 96859-5001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bodily, Brent Mitchell can be contacted via phone (808) 433-2474.Contact Information
Primary practice address
1 Jarrett White Road Tripler Army Medical Center
Tamc HI 96859-5001
Phone: (808) 433-2474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD-22451 | Hawaii |
Profile Details
| NPI number | 1265061055 |
|---|---|
| LBN Legal business name | Bodily, Brent Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2020 |
| Last updated | Nov 17th, 2022 - about 3 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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