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:
Health care specialties
Specialty | Code | License # | 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 3 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 | 1497958508 | NPPES |
Missouri | Other | 2006009461 | MEDICAL LICENSE |
Missouri | Other | M5382 | MEDICAL LICENSE |
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