Millan, Juan Alejandro

Millan, Juan Alejandro is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210 , Lynnwood WA 98036-4748. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Millan, Juan Alejandro can be contacted via phone (425) 563-1500.

Contact Information

Primary practice address
19020 33Rd Ave W Ste 210 Lynnwood WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12413 Idaho
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00042145 Washington
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD00042145 Washington

Profile Details

NPI number 1275511172
LBN Legal business name Millan, Juan Alejandro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jun 21st, 2019 - about 5 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 1275511172 NPPES
Washington Other 197585 L&I PROVIDER NUMBER
Washington MEDICAID 1009601 L&I PROVIDER NUMBER
Washington Other 197587 L&I PROVIDER NUMBER
Washington MEDICAID 1275511172 L&I PROVIDER NUMBER
Washington MEDICAID 8389330 L&I PROVIDER NUMBER
Washington Other 197586 L&I PROVIDER NUMBER

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