Mcmillan, Malcolm A
Mcmillan, Malcolm A is an individual health care provider with primary practice located at 255 Bert Kouns Loop , Shreveport LA 71106-8150. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mcmillan, Malcolm A can be contacted via phone (318) 683-0411.Contact Information
Primary practice address
255 Bert Kouns Loop
Shreveport LA 71106-8150
Phone: (318) 683-0411
Fax: (318) 603-5461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN078292 | Louisiana |
Profile Details
| NPI number | 1275538738 |
|---|---|
| LBN Legal business name | Mcmillan, Malcolm A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | May 24th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275538738 | NPPES |
| Louisiana | MEDICAID | 1428442 |
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