Mitchell, Isaac L

Mitchell, Isaac L is an individual health care provider with primary practice located at 4121 W Highway 98 , Panama City FL 32401-1170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mitchell, Isaac L can be contacted via phone (850) 914-7060.

Contact Information

Primary practice address
4121 W Highway 98 Panama City FL 32401-1170
Fax: (850) 914-7065
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME86763 Florida

Profile Details

NPI number 1760592695
LBN Legal business name Mitchell, Isaac L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 8th, 2019 - about 5 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 1760592695 NPPES
Florida Other 71676 BLUE CROSS OF FLA
Florida Other P00058125 BLUE CROSS OF FLA

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