Kenneth Mitchell

LBN: Mitchell Healthcare Associates
Kenneth Mitchell is an health care organization with primary practice located at 3800 Woodward Ave Ste 812, Detroit MI 48201-2061. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Mitchell Healthcare Associates can be contacted via phone (313) 831-9269, or through Stuart, Pamela H via phone (313) 831-9264.

Contact Information

Primary practice address
3800 Woodward Ave Ste 812 Detroit MI 48201-2061
Phone: (313) 831-9269
Fax: (313) 831-9274
Website:
Map and Directions
Authorized official contact:
Name: Stuart, Pamela H
Phone: (313) 831-9264

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901001869 Michigan

Profile Details

NPI number 1669462602
LBN Legal business name Mitchell Healthcare Associates
DBA Doing business as Kenneth Mitchell
Authorized official Stuart, Pamela H
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669462602 NPPES
Michigan Other KM001869 BCBSM
Michigan Other 3507405 BCBSM
Michigan MEDICAID 3507405 BCBSM

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