Washington, Mitzi Ann
Washington, Mitzi Ann is an individual health care provider with primary practice located at 400 S Main St Suite 200, Searcy AR 72143-6848. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Washington, Mitzi Ann can be contacted via phone (501) 279-0502.Contact Information
Primary practice address
400 S Main St Suite 200
Searcy AR 72143-6848
Phone: (501) 279-0502
Fax: (501) 279-0506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C-7762 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C-7762 | Arkansas |
Profile Details
| NPI number | 1114909124 |
|---|---|
| LBN Legal business name | Washington, Mitzi Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Oct 29th, 2018 - about 6 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 | 1114909124 | NPPES |
| Arkansas | Other | 420066 | UNITED HEALTH CARE |
| Arkansas | Other | 53355 | UNITED HEALTH CARE |
| Arkansas | Other | 12098000000 | UNITED HEALTH CARE |
| Arkansas | MEDICAID | 123525001 | UNITED HEALTH CARE |
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