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MICHAEL D. MITCHELL, PHYSICIAN, P.C.

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Company Details

Name: MICHAEL D. MITCHELL, PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Jun 2000 (25 years ago)
Entity Number: 2517190
ZIP code: 14750
County: Chautauqua
Place of Formation: New York
Address: 20 EAST FAIRWOOD DRIVE, LAKEWOOD, NY, United States, 14750

Shares Details

Shares issued 200

Share Par Value 100

Type PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 20 EAST FAIRWOOD DRIVE, LAKEWOOD, NY, United States, 14750

National Provider Identifier

NPI Number:
1871749127

Authorized Person:

Name:
DR. MICHAEL D MITCHELL
Role:
PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
000605000237 2000-06-05 CERTIFICATE OF INCORPORATION 2000-06-05

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State