Mansfield, Milton

Mansfield, Milton is an sole proprietor health care provider with primary practice located at 2781 S Columbia St Ste A , Bogalusa LA 70427-7962. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, Other Service Providers / Health Educator. Other Service Providers / Health Educator is her primary health care specialty. Mansfield, Milton can be contacted via phone (985) 377-4572.

Contact Information

Primary practice address
2781 S Columbia St Ste A Bogalusa LA 70427-7962
Fax:
Website:

Profile Details

NPI number 1417562968
LBN Legal business name Mansfield, Milton
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2020
Last updated Nov 27th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417562968 NPPES
Louisiana MEDICAID 85-2880521

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