Mitchell, Mark Anthony

Mitchell, Mark Anthony is an individual health care provider with primary practice located at 1140 Kellum Loop Rd #36, Jacksonville NC 28546-3321. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mitchell, Mark Anthony can be contacted via phone (917) 603-6469.

Contact Information

Primary practice address
1140 Kellum Loop Rd #36 Jacksonville NC 28546-3321
Phone: (917) 603-6469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1013107499
LBN Legal business name Mitchell, Mark Anthony
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated Jul 31st, 2007 - about 18 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.

Request for update

Popular Providers