Mitchell, John Marvin
Mitchell, John Marvin is an individual health care provider with primary practice located at 30 Messimer Dr , Newark OH 43055-1842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mitchell, John Marvin can be contacted via phone (220) 564-1880.Contact Information
Primary practice address
30 Messimer Dr
Newark OH 43055-1842
Phone: (220) 564-1880
Fax: (220) 564-1881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.084820 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD417322 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35084820 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 21706 | West Virginia |
Profile Details
| NPI number | 1427044114 |
|---|---|
| LBN Legal business name | Mitchell, John Marvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Mar 18th, 2021 - about 5 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 | 1427044114 | NPPES |
| Ohio | MEDICAID | 2541566 | |
| Ohio | MEDICAID | 3810001266 |
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