Dr. R Mitchell Hiserote
Neuromusculoskeletal Medicine (NMM)
7064 Corline Ct Ste C
Sebastopol
, California 95472-4528
Dr. R Mitchell Hiserote
Neuromusculoskeletal Medicine (NMM)
7064 Corline Ct Ste C
Sebastopol
, California 95472-4528
(707) 824-8766
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. R Mitchell Hiserote
- 648 Mcginnis Cir
- Cotati, CA
- Zip : 94931-7718
- Fax : (707) 824-8766
- Phone : (559) 999-8647
Second Address
- Dr. R Mitchell Hiserote
- 7064 Corline Ct Ste C
- Sebastopol, CA
- Zip : 95472-4528
- Phone : (707) 329-6582
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A7465 | CA |
National Provider Identifier
| NPI | 1053525113 |
|---|---|
| Provider Name | Dr. R Mitchell Hiserote |
| First Address | Cotati, CA 94931-7718 |
| Second Address | Sebastopol, CA 95472-4528 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2007 |
| Last Update Date | 19/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H29450 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.