Mutch, Robert G

Mutch, Robert G is an sole proprietor health care provider with primary practice located at 661 E Altamonte Dr Ste 328 , Altamonte Springs FL 32701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mutch, Robert G can be contacted via phone (407) 303-5204.

Contact Information

Primary practice address
661 E Altamonte Dr Ste 328 Altamonte Springs FL 32701
Phone: (407) 303-5204
Fax: (407) 303-5205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS16256 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101013139 Michigan

Profile Details

NPI number 1962434712
LBN Legal business name Mutch, Robert G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Dec 3rd, 2019 - about 6 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 1962434712 NPPES
Michigan MEDICAID 4531773
Michigan MEDICAID 4568586
Michigan MEDICAID 4831808

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