Mitchell, Scott E

Mitchell, Scott E is an sole proprietor health care provider with primary practice located at 4015 Gateway Blvd Suite 2120, Newburgh IN 47630-8925. 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, Scott E can be contacted via phone (812) 842-0907.

Contact Information

Primary practice address
4015 Gateway Blvd Suite 2120 Newburgh IN 47630-8925
Fax: (812) 464-0536
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10000118 Indiana

Profile Details

NPI number 1003864547
LBN Legal business name Mitchell, Scott E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated May 3rd, 2017 - about 8 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 1003864547 NPPES
Other 179627 HEALTHLINK
Other 000000108475 HEALTHLINK
MEDICAID 9500121000 HEALTHLINK

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