Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD MITCHELL
Active Sole ProprietorEDWARD MITCHELL is a Community/Behavioral Health healthcare provider located in RACINE, Wisconsin. NPI 1164834453 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · RACINE, WI
Registration Details
- NPI Number
- 1164834453
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2014 (12.189983945444 yrs)
- Last Updated
- May 21, 2014
- License
-
15732-131 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2405 NORTHWESTERN AVE # LL15RACINE, WI, 534042534Browse WI providers · Browse ZIP 53404
- Phone
- 2622608370
- Fax
- 2622608358
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.