Mitchell, Amy Beth
Mitchell, Amy Beth is an individual health care provider with primary practice located at 2605 Sw White Birch Drive , Ankeny IA 50023-7235. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mitchell, Amy Beth can be contacted via phone (515) 643-7100.Contact Information
Primary practice address
2605 Sw White Birch Drive
Ankeny IA 50023-7235
Phone: (515) 643-7100
Fax: (515) 643-7145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3641 | Iowa |
Profile Details
| NPI number | 1295718286 |
|---|---|
| LBN Legal business name | Mitchell, Amy Beth |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jan 12th, 2012 - about 13 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 | 1295718286 | NPPES |
| Iowa | MEDICAID | 3465195 | |
| Iowa | Other | 49226 | |
| Iowa | MEDICAID | 14651957 |
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