Mitchell, Matthew David
Mitchell, Matthew David is an individual health care provider with primary practice located at 105 W Harvest Rd , Bluffton IN 46714-9007. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mitchell, Matthew David can be contacted via phone (260) 824-3424.Contact Information
Primary practice address
105 W Harvest Rd
Bluffton IN 46714-9007
Phone: (260) 824-3424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003000A | Indiana |
Profile Details
| NPI number | 1871505123 |
|---|---|
| LBN Legal business name | Mitchell, Matthew David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Nov 30th, 2007 - about 19 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 | 1871505123 | NPPES |
| Indiana | Other | 18003000 | LICENSE# |
| Indiana | Other | 000000528552 | LICENSE# |
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