Mitchell, Jeanice Amy

Mitchell, Jeanice Amy is an sole proprietor health care provider with primary practice located at 3816 S Clear Creek Rd Suite B, Killeen TX 76549-4400. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mitchell, Jeanice Amy can be contacted via phone (254) 699-3933.

Contact Information

Primary practice address
3816 S Clear Creek Rd Suite B Killeen TX 76549-4400
Fax:
Website:

Health care specialties

Profile Details

NPI number 1518941277
LBN Legal business name Mitchell, Jeanice Amy
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Sep 5th, 2008 - about 16 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 1518941277 NPPES
Texas MEDICAID 142451702
Texas Other 8T0447

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