Mitchell, Philip W

Mitchell, Philip W is an sole proprietor health care provider with primary practice located at 1404 N Maple St , Normal IL 61761-1422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mitchell, Philip W can be contacted via phone (309) 452-8404.

Contact Information

Primary practice address
1404 N Maple St Normal IL 61761-1422
Phone: (309) 452-8404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-070228 Illinois

Profile Details

NPI number 1508839895
LBN Legal business name Mitchell, Philip W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Mar 31st, 2009 - about 15 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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