Mitchell, Jerry
Mitchell, Jerry is an individual health care provider with primary practice located at 2315 Wildcat Run Ct , Powell OH 43065-5112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Mitchell, Jerry can be contacted via phone (614) 406-1926.Contact Information
Primary practice address
2315 Wildcat Run Ct
Powell OH 43065-5112
Phone: (614) 406-1926
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 35082344 | Ohio |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 35082344 | Ohio |
Profile Details
NPI number | 1750339651 |
---|---|
LBN Legal business name | Mitchell, Jerry |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Feb 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750339651 | NPPES |
Ohio | MEDICAID | 2425763 | |
Ohio | Other | 000000288885 | |
Ohio | Other | 3600950 |
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