Milacek, James D

Milacek, James D is an sole proprietor health care provider with primary practice located at 10000 N 31St Ave Ste C302 , Phoenix AZ 85051-9569. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Milacek, James D can be contacted via phone (602) 843-0000.

Contact Information

Primary practice address
10000 N 31St Ave Ste C302 Phoenix AZ 85051-9569
Phone: (602) 843-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP6197 Arizona

Profile Details

NPI number 1386635530
LBN Legal business name Milacek, James D
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Jun 15th, 2020 - about 4 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 1386635530 NPPES
Other 385954 ANCC

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