Mitchell, Justin Douglas

Mitchell, Justin Douglas is an individual health care provider with primary practice located at 1393 Celanese Rd , Rock Hill SC 29732-1722. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mitchell, Justin Douglas can be contacted via phone (803) 329-3103.

Contact Information

Primary practice address
1393 Celanese Rd Rock Hill SC 29732-1722
Phone: (803) 329-3103
Fax: (803) 325-2232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3834 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6620 North Carolina

Profile Details

NPI number 1093775322
LBN Legal business name Mitchell, Justin Douglas
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Mar 4th, 2016 - about 8 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 1093775322 NPPES
Other E1570 MEDCOST
Other 0788C MEDCOST

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