Mitchell, Roger

Mitchell, Roger is an individual health care provider with primary practice located at 7204 E Sprague Ave , Spokane Valley WA 99212-0631. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Mitchell, Roger can be contacted via phone (509) 928-9337.

Contact Information

Primary practice address
7204 E Sprague Ave Spokane Valley WA 99212-0631
Fax: (509) 928-9395
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000126 Washington

Profile Details

NPI number 1427275742
LBN Legal business name Mitchell, Roger
Credentials LD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427275742 NPPES
Washington MEDICAID 5022520

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