Mitchell, J Keith
Mitchell, J Keith is an individual health care provider with primary practice located at 155 Highway 71 N , De Queen AR 71832-3706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, J Keith can be contacted via phone (870) 642-8818.Contact Information
Primary practice address
155 Highway 71 N
De Queen AR 71832-3706
Phone: (870) 642-8818
Fax: (844) 284-1064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C-8135 | Arkansas |
Profile Details
| NPI number | 1942208277 |
|---|---|
| LBN Legal business name | Mitchell, J Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jan 16th, 2024 - about 11 months 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 | 1942208277 | NPPES |
| Arkansas | MEDICAID | 125229001 | |
| Arkansas | Other | 5J334 |
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