Mitchell, Terri
Mitchell, Terri is an sole proprietor health care provider with primary practice located at 3840 Nw 178Th St , Miami Gardens FL 33055-3859. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Mitchell, Terri can be contacted via phone (305) 622-2651.Contact Information
Primary practice address
3840 Nw 178Th St
Miami Gardens FL 33055-3859
Phone: (305) 622-2651
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | CFCE 1207-1703-95 | Florida |
Profile Details
| NPI number | 1962677567 |
|---|---|
| LBN Legal business name | Mitchell, Terri |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2008 |
| Last updated | Apr 24th, 2008 - about 18 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 | 1962677567 | NPPES |
| Florida | Other | 300122900 | MEDICAID PROVIDER NUMBER |
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