Mittleman, Rachal Marie

Mittleman, Rachal Marie is an individual health care provider with primary practice located at 3235 N Wellness Dr Bldg A Suite 120A, Holland MI 49424-7264. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mittleman, Rachal Marie can be contacted via phone (616) 399-0902.

Contact Information

Primary practice address
3235 N Wellness Dr Bldg A Suite 120A Holland MI 49424-7264
Phone: (616) 399-0902
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0000041709 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301093140 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD0000041709 Tennessee

Profile Details

NPI number 1336359140
LBN Legal business name Mittleman, Rachal Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Mar 13th, 2014 - about 10 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 1336359140 NPPES
Tennessee MEDICAID 3000597

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