Mitchell, Darrel Waite
Mitchell, Darrel Waite is an sole proprietor health care provider with primary practice located at 2331 Fargo St , Klamath Falls OR 97603-6758. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mitchell, Darrel Waite can be contacted via phone (541) 884-6477.Contact Information
Primary practice address
2331 Fargo St
Klamath Falls OR 97603-6758
Phone: (541) 884-6477
Fax: (541) 884-6499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D6665 | Oregon |
Profile Details
| NPI number | 1649352634 |
|---|---|
| LBN Legal business name | Mitchell, Darrel Waite |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1649352634 | NPPES |
| Oregon | Other | 082011 | OMAP |
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