Channell, Millicent K
Channell, Millicent K is an individual health care provider with primary practice located at 42 E Laurel Rd Ste 1700 , Stratford NJ 08084-1354. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is her primary health care specialty. Channell, Millicent K can be contacted via phone (856) 566-7010.Contact Information
Primary practice address
42 E Laurel Rd Ste 1700
Stratford NJ 08084-1354
Phone: (856) 566-7010
Fax: (856) 566-6956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | MB07492500 | New Jersey |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MB07492500 | New Jersey |
Profile Details
| NPI number | 1043280159 |
|---|---|
| LBN Legal business name | Channell, Millicent K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Mar 7th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043280159 | NPPES |
| New Jersey | MEDICAID | 0068381 |
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