Mitchel, Jeffrey Martin

Mitchel, Jeffrey Martin is an sole proprietor health care provider with primary practice located at 370 Grand Ave , Englewood NJ 07631-4154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mitchel, Jeffrey Martin can be contacted via phone (201) 567-7576.

Contact Information

Primary practice address
370 Grand Ave Englewood NJ 07631-4154
Phone: (201) 567-7576
Fax: (201) 567-8628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA31248 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 124155 New York

Profile Details

NPI number 1033126735
LBN Legal business name Mitchel, Jeffrey Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Apr 6th, 2010 - 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

StateTypeNumberIssuer
All States NPI 1033126735 NPPES
Other 060044908 RAILROAD MEDICARE
Other JM0605B5010 RAILROAD MEDICARE

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