Mitchell, Brian James

Mitchell, Brian James is an individual health care provider with primary practice located at 104 27Th Ave Se , Puyallup WA 98374-1145. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Mitchell, Brian James can be contacted via phone (253) 770-9000.

Contact Information

Primary practice address
104 27Th Ave Se Puyallup WA 98374-1145
Phone: (253) 770-9000
Fax: (253) 770-9712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X OP00002336 Washington
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X OP00002336 Washington

Profile Details

NPI number 1942491196
LBN Legal business name Mitchell, Brian James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Dec 16th, 2020 - about 4 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 1942491196 NPPES
Washington MEDICAID 2006500

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