1518914548 NPI number — DR. SARA MICHELLE MITCHELL D.C.

Table of content: DR. SARA MICHELLE MITCHELL D.C. (NPI 1518914548)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518914548 NPI number — DR. SARA MICHELLE MITCHELL D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MITCHELL
Provider First Name:
SARA
Provider Middle Name:
MICHELLE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MITCHELL-LEHMKUHL
Provider Other First Name:
SARA
Provider Other Middle Name:
MICHELLE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1518914548
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9456 RENNER BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LENEXA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66219-9703
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-948-5230
Provider Business Mailing Address Fax Number:
888-958-6802

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9456 RENNER BLVD
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:
66219-9703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-948-5230
Provider Business Practice Location Address Fax Number:
888-958-6802
Provider Enumeration Date:
05/27/2006

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: 111N00000X , with the licence number:  5001 , 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)





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