Mitchell, Ralph Alan

Mitchell, Ralph Alan is an individual health care provider with primary practice located at 315 Martin Luther King Jr Way Ms: 315-J1-Trm, Tacoma WA 98405-4234. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mitchell, Ralph Alan can be contacted via phone (253) 403-7537.

Contact Information

Primary practice address
315 Martin Luther King Jr Way Ms: 315-J1-Trm Tacoma WA 98405-4234
Fax: (253) 403-7539
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10003857 Washington

Profile Details

NPI number 1942247572
LBN Legal business name Mitchell, Ralph Alan
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942247572 NPPES
Washington MEDICAID 8362220

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