Mitchell, Michael D

Mitchell, Michael D is an individual health care provider with primary practice located at 51 Glasgow Ave. , Jamestown NY 14701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mitchell, Michael D can be contacted via phone (716) 664-8604.

Contact Information

Primary practice address
51 Glasgow Ave. Jamestown NY 14701
Phone: (716) 664-8604
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 162887 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 162887 New York

Profile Details

NPI number 1922082197
LBN Legal business name Mitchell, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Apr 3rd, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922082197 NPPES
New York MEDICAID 00902103

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