Milleman, Mark Arthur

Milleman, Mark Arthur is an individual health care provider with primary practice located at 3319 Spring St , Davenport IA 52807-2125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Milleman, Mark Arthur can be contacted via phone (563) 359-1641.

Contact Information

Primary practice address
3319 Spring St Davenport IA 52807-2125
Phone: (563) 359-1641
Fax: (563) 359-4634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 36143 Iowa
Allopathic & Osteopathic Physicians / Urology 208800000X 036113576 Illinois

Profile Details

NPI number 1538162250
LBN Legal business name Milleman, Mark Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated May 8th, 2013 - about 11 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 1538162250 NPPES
Iowa Other 1464297 IA XIX# FOR ILLINOIS PTS
Iowa Other P00260899 IA XIX# FOR ILLINOIS PTS
Iowa MEDICAID 0464297 IA XIX# FOR ILLINOIS PTS
Iowa Other 1346229192 IA XIX# FOR ILLINOIS PTS
Iowa Other 1346229192 IA XIX# FOR ILLINOIS PTS
Iowa Other P00618141 IA XIX# FOR ILLINOIS PTS

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