Dr Dale Mitchum Inc

LBN: Dr Dale Mitchum Inc
Dr Dale Mitchum Inc is an health care organization with primary practice located at 100 W Lake Professional Park Suite #2, Geneva AL 36340-1203. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dr Dale Mitchum Inc can be contacted via phone (334) 684-3007, or through Mitchum, Dale G via phone (334) 684-3007.

Contact Information

Primary practice address
100 W Lake Professional Park Suite #2 Geneva AL 36340-1203
Phone: (334) 684-3007
Fax: (334) 684-3059
Website:
Map and Directions
Authorized official contact:
Name: Mitchum, Dale G
Phone: (334) 684-3007

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12381 Alabama

Profile Details

NPI number 1962596122
LBN Legal business name Dr Dale Mitchum Inc
DBA Doing business as
Authorized official Mitchum, Dale G
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 24th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962596122 NPPES
Alabama Other 51001850 BCBS BILLING NUMBER

Popular Providers