Mitzel, Caleb

Mitzel, Caleb is an individual health care provider with primary practice located at 9109 Liberty Rd , Randallstown MD 21133. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Mitzel, Caleb can be contacted via phone (410) 655-7373.

Contact Information

Primary practice address
9109 Liberty Rd Randallstown MD 21133
Phone: (410) 655-7373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A4932 Maryland

Profile Details

NPI number 1902309883
LBN Legal business name Mitzel, Caleb
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2018
Last updated Jul 11th, 2018 - about 7 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 1902309883 NPPES
Maryland MEDICAID 5485218

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