Mutter, Mitchell L

Mutter, Mitchell L is an individual health care provider with primary practice located at 979 E 3Rd St Suite C-0925, Chattanooga TN 37403-2136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mutter, Mitchell L can be contacted via phone (423) 697-2000.

Contact Information

Primary practice address
979 E 3Rd St Suite C-0925 Chattanooga TN 37403-2136
Fax: (423) 697-2118
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 07785 Tennessee

Profile Details

NPI number 1326047622
LBN Legal business name Mutter, Mitchell L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 8th, 2007 - about 17 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 1326047622 NPPES
Tennessee MEDICAID 3190102

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