Mitnick, Steven A

Mitnick, Steven A is an individual health care provider with primary practice located at 2455 Summerfield Rd , Santa Rosa CA 95405-7815. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Mitnick, Steven A can be contacted via phone (707) 308-2815.

Contact Information

Primary practice address
2455 Summerfield Rd Santa Rosa CA 95405-7815
Phone: (707) 308-2815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G51282 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G51282 California

Profile Details

NPI number 1548285950
LBN Legal business name Mitnick, Steven A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 29th, 2021 - about 5 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 1548285950 NPPES
California MEDICAID 00G512820

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