Mitchell, Jonathan S
Mitchell, Jonathan S is an individual health care provider with primary practice located at 129 Corporate Dr , Covington LA 70433-1057. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mitchell, Jonathan S can be contacted via phone (985) 249-6111.Contact Information
Primary practice address
129 Corporate Dr
Covington LA 70433-1057
Phone: (985) 249-6111
Fax: (985) 249-6109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT06910 | Louisiana |
Profile Details
| NPI number | 1093814667 |
|---|---|
| LBN Legal business name | Mitchell, Jonathan S |
| Credentials | PT,ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | May 11th, 2015 - about 11 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 | 1093814667 | NPPES |
| Louisiana | Other | PT06910 | PT LICENSE # |
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