Paddock, Mitchell

Paddock, Mitchell is an individual health care provider with primary practice located at 9632 W Appleton Ave , Milwaukee WI 53225-3305. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Paddock, Mitchell can be contacted via phone (414) 535-6704.

Contact Information

Primary practice address
9632 W Appleton Ave Milwaukee WI 53225-3305
Phone: (414) 535-6704
Fax: (414) 535-6952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4439024 Wisconsin

Profile Details

NPI number 1184817603
LBN Legal business name Paddock, Mitchell
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2007
Last updated Aug 20th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184817603 NPPES
Wisconsin MEDICAID 40292500

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