Mitchell, Denna

Mitchell, Denna is an individual health care provider with primary practice located at 905 E Main St , Olney IL 62450-2623. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Nursing Service Providers / Pediatrics is her primary health care specialty. Mitchell, Denna can be contacted via phone (618) 393-7732.

Contact Information

Primary practice address
905 E Main St Olney IL 62450-2623
Phone: (618) 393-7732
Fax: (618) 395-3123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 41226305 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1013022250
LBN Legal business name Mitchell, Denna
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 25th, 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 1013022250 NPPES
Illinois Other 8030288 BLUECROSS/BLUESHIELD IL

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