Milligan, Samuel Lymon

Milligan, Samuel Lymon is an sole proprietor health care provider with primary practice located at 710 Park Place , Mishawaka IN 46545-3519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Milligan, Samuel Lymon can be contacted via phone (574) 273-6787.

Contact Information

Primary practice address
710 Park Place Mishawaka IN 46545-3519
Fax: (574) 968-0882
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01024383 Indiana

Profile Details

NPI number 1407856271
LBN Legal business name Milligan, Samuel Lymon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Mar 19th, 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 1407856271 NPPES
Indiana MEDICAID 100326470A

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