Mitchell, William A
Mitchell, William A is an individual health care provider with primary practice located at 65 Walnut St Ste 440 , Wellesley MA 02481-2196. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mitchell, William A can be contacted via phone (781) 235-9089.Contact Information
Primary practice address
65 Walnut St Ste 440
Wellesley MA 02481-2196
Phone: (781) 235-9089
Fax: (781) 237-5121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 52543 | Massachusetts |
Profile Details
| NPI number | 1194791186 |
|---|---|
| LBN Legal business name | Mitchell, William A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Nov 20th, 2014 - about 11 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 | 1194791186 | NPPES |
| Massachusetts | MEDICAID | 3007561 | |
| Massachusetts | Other | 69218 | |
| Massachusetts | Other | 2438941 | |
| Massachusetts | Other | J03422 | |
| Massachusetts | Other | 172421 | |
| Massachusetts | Other | P00271550 | |
| Massachusetts | Other | 052543 |
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