Milbourne, Michael W

Milbourne, Michael W is an individual health care provider with primary practice located at 805 E Willow Grove Ave Ste C11, Glenside PA 19038-7968. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Milbourne, Michael W can be contacted via phone (215) 966-1546.

Contact Information

Primary practice address
805 E Willow Grove Ave Ste C11 Glenside PA 19038-7968
Phone: (215) 966-1546
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD050826 Pennsylvania
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X MD050825L Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD050825L Pennsylvania

Profile Details

NPI number 1255399366
LBN Legal business name Milbourne, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Mar 23rd, 2024 - about 6 months 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 1255399366 NPPES
Pennsylvania MEDICAID 014939000
Pennsylvania Other 37794MD050825L
Pennsylvania Other 0745998000
Pennsylvania Other 0745998000
Pennsylvania Other 0745998000
Pennsylvania Other 5511627
Pennsylvania Other 564071

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