Mitchell, Jack Paul
Mitchell, Jack Paul is an sole proprietor health care provider with primary practice located at 1011 W Loop 281 Suite 9, Longview TX 75604-2970. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mitchell, Jack Paul can be contacted via phone (903) 759-2533.Contact Information
Primary practice address
1011 W Loop 281 Suite 9
Longview TX 75604-2970
Phone: (903) 759-2533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 7317 | Texas |
Profile Details
| NPI number | 1386784502 |
|---|---|
| LBN Legal business name | Mitchell, Jack Paul |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Nov 20th, 2007 - about 17 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 | 1386784502 | NPPES |
| Texas | Other | 605821 | BCBS |
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