Mitchell, Jennifer T.

Mitchell, Jennifer T. is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mitchell, Jennifer T. can be contacted via phone (806) 743-2757.

Contact Information

Primary practice address
3601 4Th St Lubbock TX 79430-0002
Phone: (806) 743-2757
Fax: (806) 743-2563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X J6508 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J6508 Texas

Profile Details

NPI number 1154313054
LBN Legal business name Mitchell, Jennifer T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Dec 2nd, 2021 - about 3 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 1154313054 NPPES
Texas MEDICAID 146288903
Texas Other A569
Texas MEDICAID 146288902
Texas Other 87418Z
Texas MEDICAID 200016590A
Texas Other 8F3612
Texas Other 101608100
Texas MEDICAID 29557887
Texas MEDICAID 101608101

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