Mitchell, Sally Ann
Mitchell, Sally Ann is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Mitchell, Sally Ann can be contacted via phone (317) 274-0275.Contact Information
Primary practice address
705 Riley Hospital Dr
Indianapolis IN 46202-5109
Phone: (317) 274-0275
Fax: (317) 274-0256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 003351 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 75000008A | Indiana |
Profile Details
| NPI number | 1265517601 |
|---|---|
| LBN Legal business name | Mitchell, Sally Ann |
| Credentials | CAA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jan 8th, 2024 - about 11 months 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 | 1265517601 | NPPES |
| District of Columbia | MEDICAID | 100000298B |
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