Mitchell, Dyatra
Mitchell, Dyatra is an individual health care provider with primary practice located at 770 Reading Road Suite A, Mason OH 45040-1330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mitchell, Dyatra can be contacted via phone (513) 573-1444.Contact Information
Primary practice address
770 Reading Road Suite A
Mason OH 45040-1330
Phone: (513) 573-1444
Fax: (513) 573-1538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 74652 | Ohio |
Profile Details
| NPI number | 1285694380 |
|---|---|
| LBN Legal business name | Mitchell, Dyatra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | May 1st, 2012 - about 12 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 | 1285694380 | NPPES |
| Ohio | MEDICAID | 2061165 |
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