Mitchell, Kristofer J.

Mitchell, Kristofer J. is an individual health care provider with primary practice located at 800 N 1St St , Springfield IL 62702-3719. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mitchell, Kristofer J. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
800 N 1St St Springfield IL 62702-3719
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036120394 Illinois
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 036120394 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036120394 Illinois

Profile Details

NPI number 1205040664
LBN Legal business name Mitchell, Kristofer J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jan 31st, 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 1205040664 NPPES
Illinois MEDICAID 036120394
Illinois Other R01662

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