Mitchell, Marc A

Mitchell, Marc A is an individual health care provider with primary practice located at 9398 Ridgetop Blvd Nw , Silverdale WA 98383-8505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mitchell, Marc A can be contacted via phone (360) 782-3222.

Contact Information

Primary practice address
9398 Ridgetop Blvd Nw Silverdale WA 98383-8505
Fax: (360) 782-3245
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 5101016185 Michigan
Allopathic & Osteopathic Physicians / Urology 208800000X OP60085623 Washington

Profile Details

NPI number 1265620363
LBN Legal business name Mitchell, Marc A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Mar 7th, 2023 - about last year

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 1265620363 NPPES
Washington Other 1010MI REGENCE
Washington Other 249177 REGENCE

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