Mitchell, Vernon Harrell
Mitchell, Vernon Harrell is an individual health care provider with primary practice located at 4244 Wall Ave 4505 Taft Ave, Richmond CA 94804-3452. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mitchell, Vernon Harrell can be contacted via phone (510) 235-3172.Contact Information
Primary practice address
4244 Wall Ave 4505 Taft Ave
Richmond CA 94804-3452
Phone: (510) 235-3172
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1467697730 |
|---|---|
| LBN Legal business name | Mitchell, Vernon Harrell |
| Credentials | UNLICENSED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2008 |
| Last updated | Dec 15th, 2008 - 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 | 1467697730 | NPPES |
| California | Other | 680386415 | 193200000X MULTI- SPECIALTY GROUP |
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