Nutt, Mitchell E
Nutt, Mitchell E is an individual health care provider with primary practice located at 1067 Hager St Grand Lake Ob/Gyn, Saint Marys OH 45885-2422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Nutt, Mitchell E can be contacted via phone (419) 394-3387.Contact Information
Primary practice address
1067 Hager St Grand Lake Ob/Gyn
Saint Marys OH 45885-2422
Phone: (419) 394-3387
Fax: (419) 394-7313
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35.092080 | Ohio |
Profile Details
NPI number | 1568461051 |
---|---|
LBN Legal business name | Nutt, Mitchell E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2005 |
Last updated | Jan 2nd, 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 | 1568461051 | NPPES |
Ohio | MEDICAID | 0204997 | |
Ohio | Other | 9934724 | |
Ohio | Other | 1447288717 | |
Ohio | Other | NU4097102 |
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