Mitchell, John Daniel

Mitchell, John Daniel is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mitchell, John Daniel can be contacted via phone (800) 653-6568.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (800) 653-6568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 220476 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20001214 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301507178 Michigan

Profile Details

NPI number 1659360378
LBN Legal business name Mitchell, John Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jun 17th, 2022 - about 2 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 1659360378 NPPES
Massachusetts Other 220476 MA MEDICAL LICENSE
Massachusetts Other 200001214 MA MEDICAL LICENSE

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