Dalvin, Mitchell
Dalvin, Mitchell is an sole proprietor health care provider with primary practice located at 1749 S Raccoon Rd , Austintown OH 44515-4703. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Dalvin, Mitchell can be contacted via phone (330) 799-3383.Contact Information
Primary practice address
1749 S Raccoon Rd
Austintown OH 44515-4703
Phone: (330) 799-3383
Fax: (330) 799-3505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 36 002104 | Ohio |
Profile Details
| NPI number | 1073511473 |
|---|---|
| LBN Legal business name | Dalvin, Mitchell |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2005 |
| Last updated | Feb 12th, 2008 - about 16 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 | 1073511473 | NPPES |
| Ohio | MEDICAID | 0519442 |
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