Mitchell, Philip V.

Mitchell, Philip V. is an individual health care provider with primary practice located at 120 Hospital Dr Suite 100, Lebanon MO 65536-9238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, Philip V. can be contacted via phone (417) 533-6751.

Contact Information

Primary practice address
120 Hospital Dr Suite 100 Lebanon MO 65536-9238
Fax: (417) 533-6755
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 110627 Missouri

Profile Details

NPI number 1467530303
LBN Legal business name Mitchell, Philip V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 9th, 2013 - about 11 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 1467530303 NPPES
Missouri MEDICAID 204808802

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