Mitchell, Terry Howard

Mitchell, Terry Howard is an individual health care provider with primary practice located at 4230 Hamilton Blvd , Sioux City IA 51104-1137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, Terry Howard can be contacted via phone (712) 239-4300.

Contact Information

Primary practice address
4230 Hamilton Blvd Sioux City IA 51104-1137
Phone: (712) 239-4300
Fax: (712) 239-2866
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21985 Iowa

Profile Details

NPI number 1720053796
LBN Legal business name Mitchell, Terry Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 31st, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720053796 NPPES
South Dakota MEDICAID 7789072
South Dakota MEDICAID 75305796312
South Dakota MEDICAID 1171306

Popular Providers