Mitchell, Jonathan Charles

Mitchell, Jonathan Charles is an sole proprietor health care provider with primary practice located at 1625 W Garriott Rd St F, Enid OK 73703-5653. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Mitchell, Jonathan Charles can be contacted via phone (580) 242-4673.

Contact Information

Primary practice address
1625 W Garriott Rd St F Enid OK 73703-5653
Fax: (580) 242-4679
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Oklahoma

Profile Details

NPI number 1467895615
LBN Legal business name Mitchell, Jonathan Charles
Credentials BHRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2013
Last updated Apr 8th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467895615 NPPES
Oklahoma MEDICAID 200081240

Popular Providers