Mitchell, Bryan
Mitchell, Bryan is an individual health care provider with primary practice located at 16528 Desmet Ct , Spokane Valley WA 99216-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mitchell, Bryan can be contacted via phone (509) 944-8920.Contact Information
Primary practice address
16528 Desmet Ct
Spokane Valley WA 99216-3522
Phone: (509) 944-8920
Fax: (509) 227-7070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD60211414 | Washington |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD60211414 | Washington |
Profile Details
| NPI number | 1376552976 |
|---|---|
| LBN Legal business name | Mitchell, Bryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jun 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376552976 | NPPES |
| Washington | Other | 0280428 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 1376552976 | LABOR & INDUSTRIES |
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