Mittelbronn, Michele A
Mittelbronn, Michele A is an individual health care provider with primary practice located at 999 Lake Hunter Cir Suite B, Mt Pleasant SC 29464-5427. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Mittelbronn, Michele A can be contacted via phone (843) 881-2265.Contact Information
Primary practice address
999 Lake Hunter Cir Suite B
Mt Pleasant SC 29464-5427
Phone: (843) 881-2265
Fax: (843) 881-2789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 22838 | South Carolina |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 22838 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 22838 | South Carolina |
Profile Details
| NPI number | 1790736312 |
|---|---|
| LBN Legal business name | Mittelbronn, Michele A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Sep 22nd, 2011 - about 13 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 | 1790736312 | NPPES |
| South Carolina | Other | 200070804 | TAX ID |
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