Mitchell, Colleen A
Mitchell, Colleen A is an individual health care provider with primary practice located at 650 Huebner Rd , Ft Riley KS 66442-4030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mitchell, Colleen A can be contacted via phone (785) 238-7188.Contact Information
Primary practice address
650 Huebner Rd
Ft Riley KS 66442-4030
Phone: (785) 238-7188
Fax: (785) 239-7121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 15-00838 | Kansas |
Profile Details
| NPI number | 1235119546 |
|---|---|
| LBN Legal business name | Mitchell, Colleen A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Apr 5th, 2018 - about 8 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 | 1235119546 | NPPES |
| Kansas | MEDICAID | 100424250B |
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