Wachtel, Mitchell J

Wachtel, Mitchell J is an individual health care provider with primary practice located at 451 Andover St Suite 300, North Andover MA 01845-5044. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wachtel, Mitchell J can be contacted via phone (978) 794-8406.

Contact Information

Primary practice address
451 Andover St Suite 300 North Andover MA 01845-5044
Phone: (978) 794-8406
Fax: (978) 794-0633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1978 Massachusetts

Profile Details

NPI number 1699765503
LBN Legal business name Wachtel, Mitchell J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 17th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699765503 NPPES
Massachusetts MEDICAID 0357812

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