Mitchell, Matthew John

Mitchell, Matthew John is an sole proprietor health care provider with primary practice located at 138 Burningtree Dr , Groton CT 06340-3100. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mitchell, Matthew John can be contacted via phone (910) 333-4110.

Contact Information

Primary practice address
138 Burningtree Dr Groton CT 06340-3100
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1437441532
LBN Legal business name Mitchell, Matthew John
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2011
Last updated May 7th, 2011 - about 13 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.

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