Lennicx, Milton A

Lennicx, Milton A is an individual health care provider with primary practice located at 1900 Fairview Ave , Dothan AL 36301-3008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lennicx, Milton A can be contacted via phone (334) 793-9511.

Contact Information

Primary practice address
1900 Fairview Ave Dothan AL 36301-3008
Phone: (334) 793-9511
Fax: (334) 794-0721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 06616 Alabama

Profile Details

NPI number 1932182581
LBN Legal business name Lennicx, Milton A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jan 15th, 2010 - about 14 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932182581 NPPES
Alabama MEDICAID 009996115
Alabama MEDICAID 042857400
Alabama MEDICAID 000003612
Alabama MEDICAID 009996135
Alabama MEDICAID 000189175A
Alabama MEDICAID 009941384
Alabama MEDICAID 009996175

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