Mitsch, John D
Mitsch, John D is an individual health care provider with primary practice located at 130 Broad St , Weymouth MA 02188-2337. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mitsch, John D can be contacted via phone (781) 335-1576.Contact Information
Primary practice address
130 Broad St
Weymouth MA 02188-2337
Phone: (781) 335-1576
Fax: (781) 335-8401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11473 | Massachusetts |
Profile Details
| NPI number | 1003030982 |
|---|---|
| LBN Legal business name | Mitsch, John D |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jul 13th, 2024 - about last year |
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 | 1003030982 | NPPES |
| Massachusetts | Other | 821971 | UNITED CONCORDIA |
| Massachusetts | Other | 0110 | UNITED CONCORDIA |
| Massachusetts | Other | X11032 | UNITED CONCORDIA |
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