Mcmillian, Satara Alicia

Mcmillian, Satara Alicia is an sole proprietor health care provider with primary practice located at 2115 Francis Ave Se , Grand Rapids MI 49507-3016. She recently has only one registered license in Agencies / Foster Care Agency, which is considered as her primary health care specialty. Mcmillian, Satara Alicia can be contacted via phone (616) 633-3953.

Contact Information

Primary practice address
2115 Francis Ave Se Grand Rapids MI 49507-3016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X AS410389803 Michigan

Profile Details

NPI number 1841789823
LBN Legal business name Mcmillian, Satara Alicia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2018
Last updated May 6th, 2018 - about 7 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 1841789823 NPPES
Michigan MEDICAID 0191049

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