Mitchell, Barry J
Mitchell, Barry J is an individual health care provider with primary practice located at 1616 S Kelly Ave , Edmond OK 73013-3651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, Barry J can be contacted via phone (405) 330-0032.Contact Information
Primary practice address
1616 S Kelly Ave
Edmond OK 73013-3651
Phone: (405) 330-0032
Fax: (405) 715-8888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15753 | Oklahoma |
Profile Details
| NPI number | 1477525848 |
|---|---|
| LBN Legal business name | Mitchell, Barry J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Aug 4th, 2011 - about 15 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 | 1477525848 | NPPES |
| Oklahoma | MEDICAID | 100222470B | |
| Oklahoma | Other | 080168970 |
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