Carter, Mitchell Lee

Carter, Mitchell Lee is an individual health care provider with primary practice located at 2605 N Lebanon St , Lebanon IN 46052-1476. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Carter, Mitchell Lee can be contacted via phone (765) 485-8000.

Contact Information

Primary practice address
2605 N Lebanon St Lebanon IN 46052-1476
Phone: (765) 485-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003214A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28158256A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 71003214A Indiana

Profile Details

NPI number 1104156801
LBN Legal business name Carter, Mitchell Lee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2010
Last updated Oct 12th, 2021 - about 4 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 1104156801 NPPES
Indiana MEDICAID 201148500

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