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
Phone: (509) 928-9337
Fax: (509) 928-9395
Website:
Health care specialties
Specialty | Code | License # | 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 18 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 | 1427275742 | NPPES |
Washington | MEDICAID | 5022520 |
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