Mcmillen, David Michael

Mcmillen, David Michael is an individual health care provider with primary practice located at 5482 Highway 15 N , Ecru MS 38841-8471. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Mcmillen, David Michael can be contacted via phone (662) 488-8799.

Contact Information

Primary practice address
5482 Highway 15 N Ecru MS 38841-8471
Phone: (662) 488-8799
Fax: (662) 488-8729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R858462 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R858462 Mississippi

Profile Details

NPI number 1245698711
LBN Legal business name Mcmillen, David Michael
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2016
Last updated Apr 1st, 2020 - about 5 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 1245698711 NPPES
Mississippi MEDICAID 01187262

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