Mcmillen, Cory Elizabeth

Mcmillen, Cory Elizabeth is an individual health care provider with primary practice located at 20 N Newtown Street Rd , Newtown Square PA 19073-2319. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Mcmillen, Cory Elizabeth can be contacted via phone (484) 420-2680.

Contact Information

Primary practice address
20 N Newtown Street Rd Newtown Square PA 19073-2319
Phone: (484) 420-2680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT2005957 Pennsylvania

Profile Details

NPI number 1033611769
LBN Legal business name Mcmillen, Cory Elizabeth
Credentials MS,LAT,ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2018
Last updated Mar 8th, 2018 - about 6 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 1033611769 NPPES
Other 2000018197 ATHLETIC TRAINING BOARD OF CERTIFICATION
Other RT005957 ATHLETIC TRAINING BOARD OF CERTIFICATION

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