Ideue, Mitchel
Ideue, Mitchel is an individual health care provider with primary practice located at Winn Army Community Hospital 1061 Harmon Ave, Fort Stewart GA 31314. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ideue, Mitchel can be contacted via phone (808) 953-8522.Contact Information
Primary practice address
Winn Army Community Hospital 1061 Harmon Ave
Fort Stewart GA 31314
Phone: (808) 953-8522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Hawaii |
Profile Details
| NPI number | 1073661294 |
|---|---|
| LBN Legal business name | Ideue, Mitchel |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Aug 18th, 2020 - about 6 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 | 1073661294 | NPPES |
| Hawaii | Other | 0000258939 | BC BS HMSA |
| Hawaii | Other | 134284270 | BC BS HMSA |
Popular Providers
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