Milburn, Judith Annette

Milburn, Judith Annette is an sole proprietor health care provider with primary practice located at 840 Pavilion Pl , Ashland OR 97520-9130. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Milburn, Judith Annette can be contacted via phone (714) 330-1245.

Contact Information

Primary practice address
840 Pavilion Pl Ashland OR 97520-9130
Fax: (855) 485-3130
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY5649 California

Profile Details

NPI number 1225033186
LBN Legal business name Milburn, Judith Annette
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jul 7th, 2022 - about 2 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 1225033186 NPPES
Oregon Other R179612 PTAN
Oregon Other CP5649 PTAN

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