Fitzpatrick, Mitchell Jacob
Fitzpatrick, Mitchell Jacob is an individual health care provider with primary practice located at 16941 N Eagle River Loop Rd Ste 3 , Eagle River AK 99577-7824. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Fitzpatrick, Mitchell Jacob can be contacted via phone (907) 726-5330.Contact Information
Primary practice address
16941 N Eagle River Loop Rd Ste 3
Eagle River AK 99577-7824
Phone: (907) 726-5330
Fax: (907) 726-5366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1588179469 |
|---|---|
| LBN Legal business name | Fitzpatrick, Mitchell Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2017 |
| Last updated | Dec 13th, 2017 - about 9 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 | 1588179469 | NPPES |
| Alaska | Other | 00002943 | TRICARE |
Popular Providers
-
Campione, James
16941 N Eagle River Loop Rd , Eagle River AK 99577-7824 -
Sheets, Vanessa
16941 N Eagle River Loop Rd Ste 3 , Eagle River AK 99577-7824 -
Wooten, Elizabeth Renae
16941 N Eagle River Loop Rd , Eagle River AK 99577-7824 -
Hagen, Julia Rachel
16941 N Eagle River Loop Rd , Eagle River AK 99577 -
Ahern, Brett
13817 Malaspina St , Eagle River AK 99577-7504 -
Jones, Tammy Lynn
16941 N Eagle River Loop Rd , Eagle River AK 99577-7824 -
Dewitt, Kamber D
16941 N Eagle River Loop Rd Ste 3 , Eagle River AK 99577-7824 -
Godfrey, John Christopher
16941 N Eagle River Loop Rd , Eagle River AK 99577-7824