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Contact Information

MITCHELL NEEDLEMAN, DPM
16A PARK PLACE
SWANSEA, IL62226
 Phone: 618-234-8333
 Fax: 618-234-8349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MITCHELL NEEDLEMAN · (Male)

NPI Number 1922072701
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/16/2006
Last updated 11/14/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016003942
  • MO License # 000545
  • MO Medicaid 306939307
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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