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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1104994847 | NPPES |
| Other | MP010036 | CHAMPUS-CHAMPUS | |
| Other | MP010036 | CHAMPUS-CHAMPUS |
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