Mitchell, Benjamin Jacob
Mitchell, Benjamin Jacob is an individual health care provider with primary practice located at 113 Lielmanis Ave 1 Somdg, Hurlburt Field FL 32544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mitchell, Benjamin Jacob can be contacted via phone (850) 881-2337.Contact Information
Primary practice address
113 Lielmanis Ave 1 Somdg
Hurlburt Field FL 32544
Phone: (850) 881-2337
Fax: (850) 881-2323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD26619 | Oregon |
Profile Details
| NPI number | 1558379073 |
|---|---|
| LBN Legal business name | Mitchell, Benjamin Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Dec 22nd, 2015 - about 9 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 | 1558379073 | NPPES |
| Oregon | MEDICAID | O05961 |
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