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
Phone: (580) 242-4673
Fax: (580) 242-4679
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467895615 | NPPES |
Oklahoma | MEDICAID | 200081240 |
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