Mitchell, Mark
Mitchell, Mark is an individual health care provider with primary practice located at 1108 Madison Plz Ste 202 , Chesapeake VA 23320-5166. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Mitchell, Mark can be contacted via phone (757) 512-5565.Contact Information
Primary practice address
1108 Madison Plz Ste 202
Chesapeake VA 23320-5166
Phone: (757) 512-5565
Fax: (757) 644-5337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 1510097 | Virginia |
Profile Details
| NPI number | 1174903942 |
|---|---|
| LBN Legal business name | Mitchell, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2015 |
| Last updated | Jun 5th, 2015 - about 9 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 | 1174903942 | NPPES |
| Virginia | MEDICAID | 463289095 |
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