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

Primary practice address
5030 W Desert Ln Laveen AZ 85339-7366
Phone: (480) 930-6645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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 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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