Mitchell, Andrew Clair

Mitchell, Andrew Clair is an individual health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, Andrew Clair can be contacted via phone (605) 355-2282.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Fax: (605) 355-2504
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30637 Washington

Profile Details

NPI number 1275581860
LBN Legal business name Mitchell, Andrew Clair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1275581860 NPPES
South Dakota MEDICAID 5549050

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