Milam, Terry Todd

Milam, Terry Todd is an sole proprietor health care provider with primary practice located at 525 Western Ave Suite 201, Conway AR 72034-4967. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Milam, Terry Todd can be contacted via phone (501) 327-6665.

Contact Information

Primary practice address
525 Western Ave Suite 201 Conway AR 72034-4967
Phone: (501) 327-6665
Fax: (501) 730-0289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C01353 Arkansas

Profile Details

NPI number 1619964012
LBN Legal business name Milam, Terry Todd
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Feb 23rd, 2024 - about last year

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 1619964012 NPPES
Arkansas MEDICAID 146260701

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