Mitchiner, John Mark
Mitchiner, John Mark is an individual health care provider with primary practice located at 237 Church St , Sumter SC 29150-4202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mitchiner, John Mark can be contacted via phone (803) 775-6311.Contact Information
Primary practice address
237 Church St
Sumter SC 29150-4202
Phone: (803) 775-6311
Fax: (803) 778-5131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 183090 | South Carolina |
Profile Details
| NPI number | 1144220088 |
|---|---|
| LBN Legal business name | Mitchiner, John Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Aug 2nd, 2010 - about 15 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 | 1144220088 | NPPES |
| South Carolina | MEDICAID | 183090 |
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