Newsome, Austin Mitchell

Newsome, Austin Mitchell is an individual health care provider with primary practice located at 215 Curtis Ave , Coos Bay OR 97420-1619. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Newsome, Austin Mitchell can be contacted via phone (541) 604-6053.

Contact Information

Primary practice address
215 Curtis Ave Coos Bay OR 97420-1619
Phone: (541) 604-6053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN60778096 Washington
Dental Providers / Denturist 122400000X DT-DO-10224514 Oregon

Profile Details

NPI number 1093372039
LBN Legal business name Newsome, Austin Mitchell
Credentials LD
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2019
Last updated Aug 4th, 2022 - about 4 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 1093372039 NPPES
Oregon Other DT-DO-10224514 OREGON HEALTH LICENSING BOARD OF DENTURE TECHNOLOGY
Oregon Other DEN-DTR-LIC-23568 OREGON HEALTH LICENSING BOARD OF DENTURE TECHNOLOGY
Oregon Other DN60778096 OREGON HEALTH LICENSING BOARD OF DENTURE TECHNOLOGY

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