Millard, Allen

Millard, Allen is an individual health care provider with primary practice located at 1701 N 13Th St , Shelton WA 98584-2077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Millard, Allen can be contacted via phone (360) 426-2653.

Contact Information

Primary practice address
1701 N 13Th St Shelton WA 98584-2077
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00025623 Washington

Profile Details

NPI number 1669468351
LBN Legal business name Millard, Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Feb 4th, 2021 - about 3 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 1669468351 NPPES
Washington MEDICAID 8117525

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