Provider Demographics
NPI:1871799981
Name:MITCHELL, JANELL R (DC)
Entity type:Individual
Prefix:
First Name:JANELL
Middle Name:R
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1056 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-5618
Mailing Address - Country:US
Mailing Address - Phone:480-433-8408
Mailing Address - Fax:
Practice Address - Street 1:1925 E BROWN RD
Practice Address - Street 2:SUITE A-1
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-5135
Practice Address - Country:US
Practice Address - Phone:480-969-2425
Practice Address - Fax:480-969-5524
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6035111N00000X
AZ8146111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor