Mitchell, Timothy A
Mitchell, Timothy A is an individual health care provider with primary practice located at 27 Brentwood Rd , Cape Elizabeth ME 04107-2224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Mitchell, Timothy A can be contacted via phone (207) 767-1644.Contact Information
Primary practice address
27 Brentwood Rd
Cape Elizabeth ME 04107-2224
Phone: (207) 767-1644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 82182 | Massachusetts |
Profile Details
| NPI number | 1841208519 |
|---|---|
| LBN Legal business name | Mitchell, Timothy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jun 12th, 2009 - about 15 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 | 1841208519 | NPPES |
| Maine | MEDICAID | 265800099 |
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