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
Fax: (419) 394-7313
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568461051 NPPES
Ohio MEDICAID 0204997
Ohio Other 9934724
Ohio Other 1447288717
Ohio Other NU4097102

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