Pace, Mitchell T

Pace, Mitchell T is an individual health care provider with primary practice located at Henry Ford Health System 2799 West Grand Boulevard-Diag Rad, Detroit MI 48202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Pace, Mitchell T can be contacted via phone (313) 916-7425.

Contact Information

Primary practice address
Henry Ford Health System 2799 West Grand Boulevard-Diag Rad Detroit MI 48202
Phone: (313) 916-7425
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 5101010036 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101010036 Michigan

Profile Details

NPI number 1104994847
LBN Legal business name Pace, Mitchell T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
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 1104994847 NPPES
Other MP010036 CHAMPUS-CHAMPUS
Other MP010036 CHAMPUS-CHAMPUS

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