Ison, Scottie Mitchell
Ison, Scottie Mitchell is an sole proprietor health care provider with primary practice located at 3740 Cleveland Heights Blvd , Lakeland FL 33813-1215. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ison, Scottie Mitchell can be contacted via phone (863) 646-5707.Contact Information
Primary practice address
3740 Cleveland Heights Blvd
Lakeland FL 33813-1215
Phone: (863) 646-5707
Fax: (863) 647-5044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | FLCH3418 | Florida |
Profile Details
| NPI number | 1174508626 |
|---|---|
| LBN Legal business name | Ison, Scottie Mitchell |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Apr 15th, 2009 - 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 | 1174508626 | NPPES |
| Florida | MEDICAID | 050153100 |
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