Mitchell, Gregory Alan

Mitchell, Gregory Alan is an individual health care provider with primary practice located at 888 Bestgate Road Suite 211, Annapolis MD 21401-2953. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mitchell, Gregory Alan can be contacted via phone (410) 266-8601.

Contact Information

Primary practice address
888 Bestgate Road Suite 211 Annapolis MD 21401-2953
Fax: (410) 266-7268
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0014758 Maryland

Profile Details

NPI number 1669475307
LBN Legal business name Mitchell, Gregory Alan
Credentials M.D., PA
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated Oct 8th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669475307 NPPES
Maryland MEDICAID 250541000

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