Mindell, Seth M

Mindell, Seth M is an individual health care provider with primary practice located at 5821 W Maple Rd Suite 190, West Bloomfield MI 48322-2275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mindell, Seth M can be contacted via phone (248) 855-0407.

Contact Information

Primary practice address
5821 W Maple Rd Suite 190 West Bloomfield MI 48322-2275
Fax: (248) 855-1323
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301048902 Michigan

Profile Details

NPI number 1720062334
LBN Legal business name Mindell, Seth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Feb 17th, 2011 - about 15 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 1720062334 NPPES
Michigan Other 110202019 RR MEDICARE
Michigan Other 110F375900 RR MEDICARE
Michigan Other 0630901 RR MEDICARE
Michigan MEDICAID 1720062334 RR MEDICARE

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