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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336359140 | NPPES |
| Tennessee | MEDICAID | 3000597 |
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