Mitchell, John Daniel
Mitchell, John Daniel is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mitchell, John Daniel can be contacted via phone (800) 653-6568.Contact Information
Primary practice address
2799 W Grand Blvd
Detroit MI 48202-2608
Phone: (800) 653-6568
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 220476 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 20001214 | North Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301507178 | Michigan |
Profile Details
| NPI number | 1659360378 |
|---|---|
| LBN Legal business name | Mitchell, John Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jun 17th, 2022 - about 3 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 | 1659360378 | NPPES |
| Massachusetts | Other | 220476 | MA MEDICAL LICENSE |
| Massachusetts | Other | 200001214 | MA MEDICAL LICENSE |
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