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R. MITCHELL HISEROTE DO PROFESSIONAL CORPORATION NPI 1548722416


NPI Information

NPI: 1548722416
Provider Name: R. MITCHELL HISEROTE DO, PROFESSIONAL CORPORATION

Doing Business As: BLUE SKY OSTEOPATHY

Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
7064 CORLINE CT STE C1
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 329-6582
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R. MITCHELL HISEROTE DO, PROFESSIONAL CORPORATION is a neuromusculoskeletal medicine omm in Sebastopol, CA. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. R. MITCHELL HISEROTE DO, PROFESSIONAL CORPORATION NPI is 1548722416. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Blue Sky Osteopathy.

The provider's business location address is:

7064 CORLINE CT STE C1
SEBASTOPOL, CA
ZIP 95472-528
Phone: (707) 329-6582

The provider's authorized official is Raymond Mitchell Hiserote .
The authorized official title is Physician Owner and has the following contact phone number (707) 329-6582.

The enumeration date for this NPI number is 4/1/2019 and was last updated on 2/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMMYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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