Mitchell, Teresa Kandah
Mitchell, Teresa Kandah is an individual health care provider with primary practice located at 271 Carew Street , Springfield MA 01104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mitchell, Teresa Kandah can be contacted via phone (413) 748-7272.Contact Information
Primary practice address
271 Carew Street
Springfield MA 01104
Phone: (413) 748-7272
Fax: (413) 748-7213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 78033 | Massachusetts |
Profile Details
| NPI number | 1225003197 |
|---|---|
| LBN Legal business name | Mitchell, Teresa Kandah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225003197 | NPPES |
| Massachusetts | MEDICAID | 3153819 |
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