1851732663 NPI number — DR. ALISON ERIN MITCHELL DPT

Table of content: DR. ALISON ERIN MITCHELL DPT (NPI 1851732663)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851732663 NPI number — DR. ALISON ERIN MITCHELL DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MITCHELL
Provider First Name:
ALISON
Provider Middle Name:
ERIN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851732663
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/06/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11450 LAMAR AVE
Provider Second Line Business Mailing Address:
UNIT 1502
Provider Business Mailing Address City Name:
LEAWOOD
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66211-1562
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-980-6606
Provider Business Mailing Address Fax Number:
913-261-9733

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9524 CAILLER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LENEXA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66220-2656
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-980-6606
Provider Business Practice Location Address Fax Number:
913-261-9733
Provider Enumeration Date:
07/09/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  1224870 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: 11-04759 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)