Reese, Mitchell S

Reese, Mitchell S is an individual health care provider with primary practice located at 1508 Willow Lawn Dr Ste 117, Richmond VA 23230-3421. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Reese, Mitchell S can be contacted via phone (804) 282-8102.

Contact Information

Primary practice address
1508 Willow Lawn Dr Ste 117 Richmond VA 23230-3421
Fax: (804) 282-3744
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 0101028439 Virginia
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 0101028439 Virginia
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 0101028439 Virginia
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 0101028439 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101028439 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 0101028439 Virginia

Profile Details

NPI number 1760456107
LBN Legal business name Reese, Mitchell S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Apr 25th, 2008 - about 16 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 1760456107 NPPES
Virginia MEDICAID 007201401
Virginia MEDICAID 007238860
Virginia Other 224564
Virginia MEDICAID 007216246
Virginia MEDICAID 010132908
Virginia MEDICAID 007201435
Virginia MEDICAID 010250064

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