Whitacre, Mishell Greenville
Whitacre, Mishell Greenville is an sole proprietor health care provider with primary practice located at 4665 Portola Way , Atascadero CA 93422-2300. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Whitacre, Mishell Greenville can be contacted via phone (805) 400-8231.Contact Information
Primary practice address
4665 Portola Way
Atascadero CA 93422-2300
Phone: (805) 400-8231
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | LM502 | California |
Profile Details
| NPI number | 1821500877 |
|---|---|
| LBN Legal business name | Whitacre, Mishell Greenville |
| Credentials | LM, IBCLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2017 |
| Last updated | Oct 31st, 2017 - about 8 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 | 1821500877 | NPPES |
| California | Other | LM502 | MIDWIFE LICENSE |
| California | Other | L-62666 | MIDWIFE LICENSE |
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