Mitchell, Carter Wallace
Mitchell, Carter Wallace is an sole proprietor health care provider with primary practice located at 18109 Prince Philip Dr Suite 325, Olney MD 20832-1519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mitchell, Carter Wallace can be contacted via phone (301) 774-8958.Contact Information
Primary practice address
18109 Prince Philip Dr Suite 325
Olney MD 20832-1519
Phone: (301) 774-8958
Fax: (301) 774-8959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | D0067371 | Maryland |
Profile Details
| NPI number | 1114123643 |
|---|---|
| LBN Legal business name | Mitchell, Carter Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2007 |
| Last updated | Mar 12th, 2012 - about 13 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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