Mitchell, Jeanice Amy
Mitchell, Jeanice Amy is an sole proprietor health care provider with primary practice located at 3816 S Clear Creek Rd Suite B, Killeen TX 76549-4400. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mitchell, Jeanice Amy can be contacted via phone (254) 699-3933.Contact Information
Primary practice address
3816 S Clear Creek Rd Suite B
Killeen TX 76549-4400
Phone: (254) 699-3933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1099299 | Texas |
Profile Details
| NPI number | 1518941277 |
|---|---|
| LBN Legal business name | Mitchell, Jeanice Amy |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Sep 5th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518941277 | NPPES |
| Texas | MEDICAID | 142451702 | |
| Texas | Other | 8T0447 |
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