Poole, Mitchell Andrew
Poole, Mitchell Andrew is an sole proprietor health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Poole, Mitchell Andrew can be contacted via phone (614) 722-2000.Contact Information
Primary practice address
700 Childrens Dr
Columbus OH 43205-2664
Phone: (614) 722-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 30.026051 | Ohio |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 30.026051 | Ohio |
Profile Details
| NPI number | 1033677851 |
|---|---|
| LBN Legal business name | Poole, Mitchell Andrew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2019 |
| Last updated | Mar 6th, 2020 - about 6 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 | 1033677851 | NPPES |
| Ohio | MEDICAID | 0392799 |
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