Doctor Name: | WARREN MITCHELL |
NPI Number: | 1578939187 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 121 Carletondale Rd Ringwood, NJ - 074561611 |
Business Phone Number: | 9739627029 |
Business Fax Number: | 9739629211 |
Mailing Address: | 121 Carletondale Rd, RINGWOOD |
State: | NJ |
Postal Code: | 074561611 |
Phone Number: | 9739627029 |
Fax Number: | 9739629211 |
NPI Enumeration Date: | 08/18/2015 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251300000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Local Education Agency (LEA) |
Taxonomy Specialization: | |
Taxonomy Definition: | The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 |