Mitchell, Nicole Renae
Mitchell, Nicole Renae is an sole proprietor health care provider with primary practice located at 500 Rue De La Vie, Suite 405 , Baton Rouge LA 70817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Mitchell, Nicole Renae can be contacted via phone (225) 928-2555.Contact Information
Primary practice address
500 Rue De La Vie, Suite 405
Baton Rouge LA 70817
Phone: (225) 928-2555
Fax: (225) 929-9685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD0000046053 | Tennessee |
Profile Details
| NPI number | 1306069059 |
|---|---|
| LBN Legal business name | Mitchell, Nicole Renae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1306069059 | NPPES |
| Louisiana | MEDICAID | 2436520 |
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