Mizelle, Katherine Montague

Mizelle, Katherine Montague is an individual health care provider with primary practice located at 700 Children'S Drive , Columbus OH 43205-2664. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Mizelle, Katherine Montague can be contacted via phone (614) 722-3100.

Contact Information

Primary practice address
700 Children'S Drive Columbus OH 43205-2664
Phone: (614) 722-3100
Fax: (614) 722-2549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 35078529 Ohio
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 35078529 Ohio

Profile Details

NPI number 1881688893
LBN Legal business name Mizelle, Katherine Montague
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jan 21st, 2016 - about 8 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 1881688893 NPPES
West Virginia MEDICAID 1802977000
West Virginia MEDICAID 64027246
West Virginia Other MI4040601
West Virginia Other MI4040602
West Virginia MEDICAID 2211403

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