Braddon, Mitchell
Braddon, Mitchell is an individual health care provider with primary practice located at 1170 Alpharetta St , Roswell GA 30075-3631. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Braddon, Mitchell can be contacted via phone (770) 998-7774.Contact Information
Primary practice address
1170 Alpharetta St
Roswell GA 30075-3631
Phone: (770) 998-7774
Fax: (770) 998-8814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIR004968 | Georgia |
Profile Details
| NPI number | 1770646259 |
|---|---|
| LBN Legal business name | Braddon, Mitchell |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1770646259 | NPPES |
| Georgia | Other | 543858 | BLUE CROSS BLUE SHIELD |
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