Mitchell, Jay Patrick

Mitchell, Jay Patrick is an individual health care provider with primary practice located at 2370 Walton Blvd Suite 3, Rochester Hills MI 48309-1471. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mitchell, Jay Patrick can be contacted via phone (248) 651-8197.

Contact Information

Primary practice address
2370 Walton Blvd Suite 3 Rochester Hills MI 48309-1471
Phone: (248) 651-8197
Fax: (248) 651-5643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301051931 Michigan

Profile Details

NPI number 1689651259
LBN Legal business name Mitchell, Jay Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689651259 NPPES
Michigan MEDICAID 4286748

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