Mitchell, Matthew

Mitchell, Matthew is an individual health care provider with primary practice located at 1103 Kaliste Saloom Rd Suite 304, Lafayette LA 70508-5783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mitchell, Matthew can be contacted via phone (337) 988-5646.

Contact Information

Primary practice address
1103 Kaliste Saloom Rd Suite 304 Lafayette LA 70508-5783
Phone: (337) 988-5646
Fax: (337) 988-4298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 08600R Louisiana

Profile Details

NPI number 1780671842
LBN Legal business name Mitchell, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Oct 15th, 2009 - about 16 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 1780671842 NPPES
Louisiana MEDICAID 1918822

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