Mitchell, Ronald Duane

Mitchell, Ronald Duane is an sole proprietor health care provider with primary practice located at 731 Hickey Blvd , Pacifica CA 94044-1214. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Mitchell, Ronald Duane can be contacted via phone (650) 738-8080.

Contact Information

Primary practice address
731 Hickey Blvd Pacifica CA 94044-1214
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X DC18543 California

Profile Details

NPI number 1407998685
LBN Legal business name Mitchell, Ronald Duane
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 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 1407998685 NPPES
California Other DC18543 STATE LICENSE

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