Mitchell, William D

Mitchell, William D is an individual health care provider with primary practice located at 2913 Betin Ave , Monroe LA 71201-7257. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mitchell, William D can be contacted via phone (318) 651-0041.

Contact Information

Primary practice address
2913 Betin Ave Monroe LA 71201-7257
Phone: (318) 651-0041
Fax: (318) 651-8980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 135663 Alaska

Profile Details

NPI number 1285081752
LBN Legal business name Mitchell, William D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2016
Last updated Oct 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285081752 NPPES
Louisiana Other 324084 LA STATE MEDICAL BOARD
Louisiana Other 135663 LA STATE MEDICAL BOARD

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