Mitchener, James Samuel

Mitchener, James Samuel is an sole proprietor health care provider with primary practice located at 1414 Franklin Rd Sw , Roanoke VA 24016-5217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Mitchener, James Samuel can be contacted via phone (540) 985-0116.

Contact Information

Primary practice address
1414 Franklin Rd Sw Roanoke VA 24016-5217
Phone: (540) 985-0116
Fax: (540) 985-0215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 0101034846 Virginia

Profile Details

NPI number 1487641312
LBN Legal business name Mitchener, James Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Nov 20th, 2009 - about 15 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 1487641312 NPPES
Virginia MEDICAID 007340702

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