Mitchell, Max Hamilton

Mitchell, Max Hamilton is an individual health care provider with primary practice located at 3909 Ne Stallings Dr , Nacogdoches TX 75965. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mitchell, Max Hamilton can be contacted via phone (936) 564-7780.

Contact Information

Primary practice address
3909 Ne Stallings Dr Nacogdoches TX 75965
Phone: (936) 564-7780
Fax: (936) 564-0745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1065480 Texas

Profile Details

NPI number 1346294394
LBN Legal business name Mitchell, Max Hamilton
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jun 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346294394 NPPES
Texas MEDICAID 021252401
Texas Other 1065480

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