Carl, Mitchell

Carl, Mitchell is an individual health care provider with primary practice located at 1 Trillium Way Ste 302, Corbin KY 40701-8426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Carl, Mitchell can be contacted via phone (606) 528-5000.

Contact Information

Primary practice address
1 Trillium Way Ste 302 Corbin KY 40701-8426
Fax: (606) 528-5113
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 37722 Kentucky

Profile Details

NPI number 1659377950
LBN Legal business name Carl, Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Nov 1st, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659377950 NPPES
Kentucky Other 611277847 CIGNA
Kentucky MEDICAID 64062292 CIGNA
Kentucky Other 830008709 CIGNA
Kentucky Other 000000769615 CIGNA
Kentucky Other P01079962 CIGNA
Kentucky Other 7525437 CIGNA
Kentucky Other H61953 CIGNA
Kentucky Other 000000290035 CIGNA
Kentucky Other 500000606 CIGNA
Kentucky Other 023379600 CIGNA
Kentucky Other 611277847C CIGNA
Kentucky Other 611277847 CIGNA
Kentucky Other 87105 CIGNA

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