Mitnick, Joshua P

Mitnick, Joshua P is an sole proprietor health care provider with primary practice located at 47 Penny Ln Ste 1 , Watsonville CA 95076-6055. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Mitnick, Joshua P can be contacted via phone (831) 728-8844.

Contact Information

Primary practice address
47 Penny Ln Ste 1 Watsonville CA 95076-6055
Phone: (831) 728-8844
Fax: (831) 763-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E5006 California

Profile Details

NPI number 1811006596
LBN Legal business name Mitnick, Joshua P
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Oct 24th, 2023 - about 2 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 1811006596 NPPES
Oregon MEDICAID 006092

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