Mitchell, Mark
Mitchell, Mark is an individual health care provider with primary practice located at 110 Irving St Nw Rm 5B-18 Dept. Of Ob/Gyn, Washington DC 20010-3017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mitchell, Mark can be contacted via phone (202) 877-7473.Contact Information
Primary practice address
110 Irving St Nw Rm 5B-18 Dept. Of Ob/Gyn
Washington DC 20010-3017
Phone: (202) 877-7473
Fax: (202) 877-7393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD15018 | District of Columbia |
Profile Details
| NPI number | 1225009020 |
|---|---|
| LBN Legal business name | Mitchell, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jul 2nd, 2012 - about 12 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 | 1225009020 | NPPES |
| District of Columbia | MEDICAID | 010121264 | |
| District of Columbia | MEDICAID | 036306900 | |
| District of Columbia | MEDICAID | 007700300 |
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