Ross, Mitchell K

Ross, Mitchell K is an individual health care provider with primary practice located at 10 Minot Ave , Auburn ME 04210-4900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ross, Mitchell K can be contacted via phone (207) 795-2927.

Contact Information

Primary practice address
10 Minot Ave Auburn ME 04210-4900
Fax: (207) 795-2000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 12092 Maine
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X MD12092 Maine

Profile Details

NPI number 1073503660
LBN Legal business name Ross, Mitchell K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Mar 20th, 2013 - about 12 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 1073503660 NPPES
Maine MEDICAID 432007500

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