Mitchell, Bill Harold

Mitchell, Bill Harold is an sole proprietor health care provider with primary practice located at 311 N Broad St , Albertville AL 35950-1725. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mitchell, Bill Harold can be contacted via phone (256) 878-9181.

Contact Information

Primary practice address
311 N Broad St Albertville AL 35950-1725
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S458TA129 Alabama

Profile Details

NPI number 1104986926
LBN Legal business name Mitchell, Bill Harold
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jun 20th, 2008 - about 18 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 1104986926 NPPES
Alabama MEDICAID 000810024

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