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
Phone: (714) 330-1245
Fax: (855) 485-3130
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225033186 | NPPES |
Oregon | Other | R179612 | PTAN |
Oregon | Other | CP5649 | PTAN |
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