Milleville, Mark William

Milleville, Mark William is an individual health care provider with primary practice located at 3571 Niagara Falls Blvd , North Tonawanda NY 14120. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Milleville, Mark William can be contacted via phone (716) 695-7848.

Contact Information

Primary practice address
3571 Niagara Falls Blvd North Tonawanda NY 14120
Phone: (716) 695-7848
Fax: (716) 695-0312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0112481 New York

Profile Details

NPI number 1972596807
LBN Legal business name Milleville, Mark William
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 8th, 2007 - about 18 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 1972596807 NPPES
New York Other 11515444 CAQH

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