Mitchell, James Robert

Mitchell, James Robert is an individual health care provider with primary practice located at 1516 S Commercial St , Neenah WI 54956-4802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mitchell, James Robert can be contacted via phone (920) 725-0077.

Contact Information

Primary practice address
1516 S Commercial St Neenah WI 54956-4802
Phone: (920) 725-0077
Fax: (920) 725-6535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 33095 Wisconsin

Profile Details

NPI number 1104922467
LBN Legal business name Mitchell, James Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Sep 24th, 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 1104922467 NPPES
Wisconsin Other 450030843 MEDICARE PTAN
Wisconsin Other 711290238 MEDICARE PTAN
Wisconsin MEDICAID 31847700 MEDICARE PTAN

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