Mitchell, Jason Kristopher

Mitchell, Jason Kristopher is an individual health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mitchell, Jason Kristopher can be contacted via phone (469) 502-8263.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134-1098
Phone: (469) 502-8263
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1982161865
LBN Legal business name Mitchell, Jason Kristopher
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2019
Last updated Feb 27th, 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 1982161865 NPPES
Texas Other 02839649 DRIVERS LICENSE

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