Mitchell, Douglas
Mitchell, Douglas is an individual health care provider with primary practice located at 5030 W Desert Ln , Laveen AZ 85339-7366. He recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / General Practice, Nursing Service Providers / Registered Nurse First Assistant, Nursing Service Providers / Administrator. Nursing Service Providers / Administrator is his primary health care specialty. Mitchell, Douglas can be contacted via phone (480) 930-6645.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Critical Care Medicine | 163WC0200X | 122954 | Arizona |
Nursing Service Providers / General Practice | 163WG0000X | 272425 | Ohio |
Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | 272425 | Ohio |
Nursing Service Providers / Administrator | 163WA2000X | 122954 | Arizona |
Profile Details
NPI number | 1144644394 |
---|---|
LBN Legal business name | Mitchell, Douglas |
Credentials | PHD(C), RN, BC, CPHQ |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2014 |
Last updated | Jun 26th, 2024 - about 3 months 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 | 1144644394 | NPPES |
Arizona | Other | NC8227319 | AZ HELTCHC PRFRD |
Arizona | Other | NC8227319 | AZ HELTCHC PRFRD |
Arizona | Other | NC8227319 | AZ HELTCHC PRFRD |
Arizona | Other | NC8227319 | AZ HELTCHC PRFRD |
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