Millan, Mario Jr

Millan, Mario Jr is an sole proprietor health care provider with primary practice located at 114 Washington Avenue , Belleville NJ 07109. He recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as his primary health care specialty. Millan, Mario Jr can be contacted via phone (973) 429-0525.

Contact Information

Primary practice address
114 Washington Avenue Belleville NJ 07109
Fax: (973) 751-7704
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X New Jersey

Profile Details

NPI number 1851871370
LBN Legal business name Millan, Mario Jr
Credentials HEALTH ADULT DAYCARE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2018
Last updated Nov 15th, 2018 - about 6 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 1851871370 NPPES
New Jersey MEDICAID 831417720

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