Womack, Mitchell Anthony
Womack, Mitchell Anthony is an individual health care provider with primary practice located at 1430 Palm Bay Rd Ne Suite C, Palm Bay FL 32905-3829. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Womack, Mitchell Anthony can be contacted via phone (321) 723-2113.Contact Information
Primary practice address
1430 Palm Bay Rd Ne Suite C
Palm Bay FL 32905-3829
Phone: (321) 723-2113
Fax: (321) 952-0848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | CH0005440 | Florida |
Profile Details
| NPI number | 1174534218 |
|---|---|
| LBN Legal business name | Womack, Mitchell Anthony |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jan 29th, 2010 - about 14 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 | 1174534218 | NPPES |
| Florida | MEDICAID | 380015600 |
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