Scotten, Mitzi S
Scotten, Mitzi S is an individual health care provider with primary practice located at 800 S Church St Ste 400 , Jonesboro AR 72401-4112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Scotten, Mitzi S can be contacted via phone (870) 935-6012.Contact Information
Primary practice address
800 S Church St Ste 400
Jonesboro AR 72401-4112
Phone: (870) 935-6012
Fax: (870) 934-3156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 111226 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E9760 | Arkansas |
Profile Details
| NPI number | 1538110978 |
|---|---|
| LBN Legal business name | Scotten, Mitzi S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1538110978 | NPPES |
| Arkansas | MEDICAID | 213090001 | |
| Arkansas | MEDICAID | 208888206 |
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