Mitchell, Samuel J
Mitchell, Samuel J is an individual health care provider with primary practice located at 1 Swingle Student Health Service Montana State University, Bozeman MT 59717-3260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, Samuel J can be contacted via phone (406) 994-2311.Contact Information
Primary practice address
1 Swingle Student Health Service Montana State University
Bozeman MT 59717-3260
Phone: (406) 994-2311
Fax: (406) 994-2504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10813 | Montana |
Profile Details
| NPI number | 1346295060 |
|---|---|
| LBN Legal business name | Mitchell, Samuel J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Feb 8th, 2013 - about 12 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 | 1346295060 | NPPES |
| Montana | MEDICAID | 0144781 |
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