Mitchem, Curtis R

Mitchem, Curtis R is an individual health care provider with primary practice located at 1701 S Prospect Avenue , Champaign IL 61820. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mitchem, Curtis R can be contacted via phone (217) 352-4100.

Contact Information

Primary practice address
1701 S Prospect Avenue Champaign IL 61820
Phone: (217) 352-4100
Fax: (217) 363-2011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1215051891
LBN Legal business name Mitchem, Curtis R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 18 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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