Mita, Stephanie

Mita, Stephanie is an individual health care provider with primary practice located at 975 Sereno Dr , Vallejo CA 94589-2441. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Mita, Stephanie can be contacted via phone (707) 651-1000.

Contact Information

Primary practice address
975 Sereno Dr Vallejo CA 94589-2441
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E5567 California

Profile Details

NPI number 1669836763
LBN Legal business name Mita, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2016
Last updated Jul 22nd, 2019 - about 7 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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