Mitchell, Jane Ellen

Mitchell, Jane Ellen is an individual health care provider with primary practice located at 1801 Purdue Dr Ste 1 , Fayetteville NC 28304-3624. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Mitchell, Jane Ellen can be contacted via phone (347) 721-5324.

Contact Information

Primary practice address
1801 Purdue Dr Ste 1 Fayetteville NC 28304-3624
Phone: (347) 721-5324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 033927 New York
Dental Providers / General Practice 1223G0001X 9388 North Carolina

Profile Details

NPI number 1851461115
LBN Legal business name Mitchell, Jane Ellen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated May 22nd, 2024 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851461115 NPPES
New York MEDICAID 00725897

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