Mitchell, Bennett

Mitchell, Bennett is an individual health care provider with primary practice located at 2225 Civic Center Dr , North Las Vegas NV 89030-6338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, Bennett can be contacted via phone (702) 877-5319.

Contact Information

Primary practice address
2225 Civic Center Dr North Las Vegas NV 89030-6338
Phone: (702) 877-5319
Fax: (702) 259-0128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7323 Nevada

Profile Details

NPI number 1639140205
LBN Legal business name Mitchell, Bennett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jan 17th, 2017 - about 7 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 1639140205 NPPES
Nevada MEDICAID 2019532
Nevada MEDICAID 1639140205

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