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Search › Rhode Island › 101YA0400X

John Mitchner, LCDP

NPI 1588222145 · on the registry since 2019 · sole proprietor

Practice

Address
530 N Main St
Providence, RI 02904
Phone
(401) 276-6320
Fax
(401) 276-4124
Organisation at this address
Genoa Healthcare Llc
The Providence Center
The Providence Center
The Providence Center
The Providence Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
337

Additional practice sites

  • 45 Batcheller Ave, Providence, RI

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island