Mitchell Internal Medicine, Inc.

LBN: Mitchell Internal Medicine, Inc.
Mitchell Internal Medicine, Inc. is an health care organization with primary practice located at 4834 Socialville Foster Rd Suite 10, Mason OH 45040-6826. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mitchell Internal Medicine, Inc. can be contacted via phone (513) 336-9101, or through Mitchell, Dyatra B via phone (513) 336-9101.

Contact Information

Primary practice address
4834 Socialville Foster Rd Suite 10 Mason OH 45040-6826
Phone: (513) 336-9101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Dyatra B Doctor of Medicine (MD)
Phone: (513) 336-9101

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1114957834
LBN Legal business name Mitchell Internal Medicine, Inc.
DBA Doing business as
Authorized official Mitchell, Dyatra B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 6th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114957834 NPPES
Ohio MEDICAID 2061165

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