Mitchell, Fred L

Mitchell, Fred L is an sole proprietor health care provider with primary practice located at 906 Lantern Hill Dr , East Lansing MI 48823-2832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Mitchell, Fred L can be contacted via phone (517) 351-5248.

Contact Information

Primary practice address
906 Lantern Hill Dr East Lansing MI 48823-2832
Phone: (517) 351-5248
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5101006537 Michigan

Profile Details

NPI number 1962567719
LBN Legal business name Mitchell, Fred L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1962567719 NPPES
Michigan Other 0153333765 BCBS OF MICHIGAN

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