Mitchell, Nicole Marie
Mitchell, Nicole Marie is an individual health care provider with primary practice located at 1802 Carmel Rd , Greensboro NC 27408-3120. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mitchell, Nicole Marie can be contacted via phone (336) 282-6222.Contact Information
Primary practice address
1802 Carmel Rd
Greensboro NC 27408-3120
Phone: (336) 282-6222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 5161 | North Carolina |
Profile Details
| NPI number | 1780606079 |
|---|---|
| LBN Legal business name | Mitchell, Nicole Marie |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1780606079 | NPPES |
| North Carolina | Other | 136YG | BLUE CROSS/BLUE SHIELD |
| North Carolina | MEDICAID | 7301723 | BLUE CROSS/BLUE SHIELD |
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