Organization Name: | CHRISTINE A. MITCHELL, DO,NMMOMM,FP,LLC |
NPI Number: | 1881792158 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE ANN MITCHELL (MANAGING MEMBER, PHYSICIAN) |
Mailing Address: | 11165 Stratfield Ct Fl 1 Marriottsville |
State: | MD US |
Postal Code: | 211041625 |
Phone Number: | 4106962082 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | H0063949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |