Mitchell, Matthew Eugene
Mitchell, Matthew Eugene is an individual health care provider with primary practice located at 4140 Centennial Hills Blvd Ste A, Casper WY 82609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mitchell, Matthew Eugene can be contacted via phone (307) 265-7205.Contact Information
Primary practice address
4140 Centennial Hills Blvd Ste A
Casper WY 82609
Phone: (307) 265-7205
Fax: (307) 235-6262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 7678A | Wyoming |
Profile Details
| NPI number | 1386695310 |
|---|---|
| LBN Legal business name | Mitchell, Matthew Eugene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jun 13th, 2018 - about 6 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 | 1386695310 | NPPES |
| Wyoming | Other | P00412108 | RAILROAD MEDICARE PTAN |
| Wyoming | Other | 315174 | RAILROAD MEDICARE PTAN |
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