Earley, Mitchell L.

Earley, Mitchell L. is an individual health care provider with primary practice located at 1101 Bowman Rd , Mt Pleasant SC 29464-3213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Earley, Mitchell L. can be contacted via phone (436) 067-1858.

Contact Information

Primary practice address
1101 Bowman Rd Mt Pleasant SC 29464-3213
Fax: (843) 606-7187
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3849 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39879 South Carolina

Profile Details

NPI number 1235179003
LBN Legal business name Earley, Mitchell L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jun 6th, 2019 - about 6 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 1235179003 NPPES
South Carolina MEDICAID 398796

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