Valente, Mitchell David
Valente, Mitchell David is an individual health care provider with primary practice located at 1550 S Pioneer Way , Moses Lake WA 98837-4613. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Valente, Mitchell David can be contacted via phone (509) 793-9790.Contact Information
Primary practice address
1550 S Pioneer Way
Moses Lake WA 98837-4613
Phone: (509) 793-9790
Fax: (509) 764-3244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085006439 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA61427915 | Washington |
Profile Details
| NPI number | 1225543580 |
|---|---|
| LBN Legal business name | Valente, Mitchell David |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2017 |
| Last updated | Jun 22nd, 2023 - about 3 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 | 1225543580 | NPPES |
| Washington | MEDICAID | 2246839 |
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