Mitchell, Mark A

Mitchell, Mark A is an individual health care provider with primary practice located at 2150 Gettler St Ste 400 , Dyer IN 46311-2385. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Mitchell, Mark A can be contacted via phone (219) 865-0893.

Contact Information

Primary practice address
2150 Gettler St Ste 400 Dyer IN 46311-2385
Phone: (219) 865-0893
Fax: (219) 865-3599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 02003221A Indiana
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036.108244 Illinois
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036-108244 Illinois
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 02003221A Indiana

Profile Details

NPI number 1265552756
LBN Legal business name Mitchell, Mark A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 20th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265552756 NPPES
Indiana MEDICAID 200911930

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