Mitchell, Ami C

Mitchell, Ami C is an sole proprietor health care provider with primary practice located at 1800 Beach Dr Pt Department, Gulfport MS 39507-1553. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mitchell, Ami C can be contacted via phone (228) 897-4452.

Contact Information

Primary practice address
1800 Beach Dr Pt Department Gulfport MS 39507-1553
Phone: (228) 897-4452
Fax: (228) 388-0017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT2632 Mississippi

Profile Details

NPI number 1225373871
LBN Legal business name Mitchell, Ami C
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2012
Last updated Mar 28th, 2013 - about 13 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 1225373871 NPPES
Mississippi Other 05638788 MEDICAID

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