Mayo, Mitchell J
Mayo, Mitchell J is an sole proprietor health care provider with primary practice located at 2155 Hollow Brook Dr Ste 40, Colorado Springs CO 80918-1451. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Mayo, Mitchell J can be contacted via phone (719) 272-6416.Contact Information
Primary practice address
2155 Hollow Brook Dr Ste 40
Colorado Springs CO 80918-1451
Phone: (719) 272-6416
Fax: (719) 272-6408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ocularist | 156FX1700X |
Profile Details
| NPI number | 1073549226 |
|---|---|
| LBN Legal business name | Mayo, Mitchell J |
| Credentials | BCO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Feb 10th, 2020 - about 5 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 | 1073549226 | NPPES |
| Other | 364478259 | TRICARE | |
| MEDICAID | 07137214 | TRICARE |
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