Hawley, Mitchell Lynn

Hawley, Mitchell Lynn is an sole proprietor health care provider with primary practice located at 2570 Goodwater Ave Suite 100, Redding CA 96002-1514. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hawley, Mitchell Lynn can be contacted via phone (530) 224-0990.

Contact Information

Primary practice address
2570 Goodwater Ave Suite 100 Redding CA 96002-1514
Phone: (530) 224-0990
Fax: (530) 224-0940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3819 California

Profile Details

NPI number 1659452399
LBN Legal business name Hawley, Mitchell Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jun 19th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659452399 NPPES
Other 480014139 RAILROAD MEDICARE
Other E3819 RAILROAD MEDICARE
MEDICAID 000E38190 RAILROAD MEDICARE

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