Mitchell, Jeffrey Raymond
Mitchell, Jeffrey Raymond is an individual health care provider with primary practice located at 8312 Kaseman Ct Ne Presbyterian, Outpatient Child Bh Clinic, Albuquerque NM 87110-7639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Mitchell, Jeffrey Raymond can be contacted via phone (505) 291-5300.Contact Information
Primary practice address
8312 Kaseman Ct Ne Presbyterian, Outpatient Child Bh Clinic
Albuquerque NM 87110-7639
Phone: (505) 291-5300
Fax: (505) 559-6130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 20708 | Oklahoma |
Profile Details
| NPI number | 1568442135 |
|---|---|
| LBN Legal business name | Mitchell, Jeffrey Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Dec 13th, 2012 - about 12 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 | 1568442135 | NPPES |
| Other | 2017759 | CIGNA BEHAVIORAL HEALTH | |
| MEDICAID | 100029450A | CIGNA BEHAVIORAL HEALTH | |
| Other | 7411192 | CIGNA BEHAVIORAL HEALTH |
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