Medeiros, Milton O

Medeiros, Milton O is an individual health care provider with primary practice located at 3035 N Highland Ave , Jackson TN 38305-3411. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Medeiros, Milton O can be contacted via phone (731) 664-0899.

Contact Information

Primary practice address
3035 N Highland Ave Jackson TN 38305-3411
Phone: (731) 664-0899
Fax: (731) 664-0946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7727 Tennessee

Profile Details

NPI number 1366410599
LBN Legal business name Medeiros, Milton O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 9th, 2007 - about 17 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 1366410599 NPPES
Tennessee MEDICAID 3827978
Tennessee Other 000000034150
Tennessee Other P00242733
Tennessee Other 4105401
Tennessee Other 000000165679

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