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
Phone: (574) 273-6787
Fax: (574) 968-0882
Website:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407856271 | NPPES |
| Indiana | MEDICAID | 100326470A |
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