Millesen, Gwendolyn J

Millesen, Gwendolyn J is an sole proprietor health care provider with primary practice located at 55 Hospital Dr , Athens OH 45701-2302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Millesen, Gwendolyn J can be contacted via phone (740) 592-9349.

Contact Information

Primary practice address
55 Hospital Dr Athens OH 45701-2302
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20341 West Virginia

Profile Details

NPI number 1619916657
LBN Legal business name Millesen, Gwendolyn J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1619916657 NPPES
West Virginia Other 1054725 WV WORK COMP
West Virginia MEDICAID 3810001713 WV WORK COMP
West Virginia Other 2216364 WV WORK COMP

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