Millican, Timothy Z

Millican, Timothy Z is an individual health care provider with primary practice located at 99 E River Dr 5Th Floor C/O Ipms, East Hartford CT 06108-3288. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Millican, Timothy Z can be contacted via phone (860) 282-0833.

Contact Information

Primary practice address
99 E River Dr 5Th Floor C/O Ipms East Hartford CT 06108-3288
Phone: (860) 282-0833
Fax: (860) 282-0170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 002573 Connecticut

Profile Details

NPI number 1598724197
LBN Legal business name Millican, Timothy Z
Credentials APRN, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 29th, 2015 - about 10 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 1598724197 NPPES
Connecticut MEDICAID 004221834

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