King, Mitchell S

King, Mitchell S is an individual health care provider with primary practice located at 1221 E State St , Rockford IL 61104-2231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. King, Mitchell S can be contacted via phone (815) 972-1000.

Contact Information

Primary practice address
1221 E State St Rockford IL 61104-2231
Phone: (815) 972-1000
Fax: (815) 972-1033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036092084 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40031-20 Wisconsin

Profile Details

NPI number 1225038276
LBN Legal business name King, Mitchell S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 2nd, 2023 - about last year

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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