Duckworth, Mitchell Douglas
Duckworth, Mitchell Douglas is an individual health care provider with primary practice located at Stony Brook University Hospital Dept Of , Stony Brook NY 11794-8711. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist Anesthesiologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Duckworth, Mitchell Douglas can be contacted via phone (631) 444-2557.Contact Information
Primary practice address
Stony Brook University Hospital Dept Of
Stony Brook NY 11794-8711
Phone: (631) 444-2557
Fax: (631) 444-6013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | 8926334-9924 | Utah |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1649530601 |
|---|---|
| LBN Legal business name | Duckworth, Mitchell Douglas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2012 |
| Last updated | May 19th, 2025 - about last year |
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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