Mitchell, James M

Mitchell, James M is an sole proprietor health care provider with primary practice located at 3732 East Poinsettia , Phoenix AZ 85028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, James M can be contacted via phone (602) 996-1799.

Contact Information

Primary practice address
3732 East Poinsettia Phoenix AZ 85028
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30739 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9900303 North Carolina

Profile Details

NPI number 1679568554
LBN Legal business name Mitchell, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Feb 6th, 2019 - about 7 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 1679568554 NPPES
Arizona MEDICAID 919318

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