Mitchell, Brenda L

Mitchell, Brenda L is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite 4500, Huntington WV 25701-3656. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mitchell, Brenda L can be contacted via phone (304) 691-1400.

Contact Information

Primary practice address
1600 Medical Center Dr Suite 4500 Huntington WV 25701-3656
Fax: (304) 691-1453
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 19292 West Virginia

Profile Details

NPI number 1285693192
LBN Legal business name Mitchell, Brenda L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Dec 14th, 2021 - about 3 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 1285693192 NPPES
Kentucky MEDICAID 64942444
Kentucky MEDICAID 2054584
Kentucky MEDICAID 6200246000

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