Mitchem, John T
Mitchem, John T is an individual health care provider with primary practice located at 1929 Buttonwood Ct , Harrisonburg VA 22802-6197. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mitchem, John T can be contacted via phone (540) 470-0288.Contact Information
Primary practice address
1929 Buttonwood Ct
Harrisonburg VA 22802-6197
Phone: (540) 470-0288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0126000546 | Virginia |
Profile Details
| NPI number | 1215109947 |
|---|---|
| LBN Legal business name | Mitchem, John T |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2008 |
| Last updated | Apr 2nd, 2008 - about 17 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 | 1215109947 | NPPES |
| Virginia | Other | 0126000546 | BOARD OF MEDICINE |
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