Mitchell, William A.

Mitchell, William A. is an individual health care provider with primary practice located at 1225 S Grand Blvd , Saint Louis MO 63104-1016. 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 (314) 257-3390.

Contact Information

Primary practice address
1225 S Grand Blvd Saint Louis MO 63104-1016
Phone: (314) 257-3390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2006009461 Missouri

Profile Details

NPI number 1497958508
LBN Legal business name Mitchell, William A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jan 27th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497958508 NPPES
Missouri Other 2006009461 MEDICAL LICENSE
Missouri Other M5382 MEDICAL LICENSE

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