Isaac, Mitchell Gareth

Isaac, Mitchell Gareth is an sole proprietor health care provider with primary practice located at 145 Kimel Park Dr Suite 100, Winston Salem NC 27103-7254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Isaac, Mitchell Gareth can be contacted via phone (336) 768-6347.

Contact Information

Primary practice address

145 Kimel Park Dr Suite 100 Winston Salem NC 27103-7254

Phone: (336) 768-6347

Fax: (336) 760-9393

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Neurology	2084N0400X	2007-00262	North Carolina

Profile Details

NPI number	1629283908
LBN Legal business name	Isaac, Mitchell Gareth
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	May 11th, 2007
Last updated	Mar 4th, 2011 - about 14 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

State	Type	Number	Issuer
All States	NPI	1629283908	NPPES
North Carolina	MEDICAID	5909276

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