Mitscher, Corey Joseph

Mitscher, Corey Joseph is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy , Avon IN 46123-7085. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Mitscher, Corey Joseph can be contacted via phone (317) 217-3000.

Contact Information

Primary practice address
1111 Ronald Reagan Pkwy Avon IN 46123-7085
Phone: (317) 217-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 75000123A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 75000123A Indiana

Profile Details

NPI number 1982319505
LBN Legal business name Mitscher, Corey Joseph
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2023
Last updated Feb 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982319505 NPPES
Indiana Other 264430G84 MEDICARE PTAN

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