Millard, Jonathan Kevin

Millard, Jonathan Kevin is an individual health care provider with primary practice located at 1 Medical Park Dr , Chester SC 29706-9769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Millard, Jonathan Kevin can be contacted via phone (803) 581-3151.

Contact Information

Primary practice address
1 Medical Park Dr Chester SC 29706-9769
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 85495 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 011233708 North Carolina

Profile Details

NPI number 1932119088
LBN Legal business name Millard, Jonathan Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Apr 21st, 2021 - about 4 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 1932119088 NPPES
North Carolina MEDICAID 89135FU
North Carolina MEDICAID N00840

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