Millette, Terrence John

Millette, Terrence John is an individual health care provider with primary practice located at 3616 Hospital St Suite A, Pascagoula MS 39581-4117. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Millette, Terrence John can be contacted via phone (228) 990-9926.

Contact Information

Primary practice address
3616 Hospital St Suite A Pascagoula MS 39581-4117
Phone: (228) 990-9926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MS09641 Mississippi
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MS09641 Mississippi
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01077142A Indiana

Profile Details

NPI number 1740298967
LBN Legal business name Millette, Terrence John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated May 4th, 2017 - about 8 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 1740298967 NPPES
Mississippi MEDICAID 0016486

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