Millikan, David John

Millikan, David John is an individual health care provider with primary practice located at 1921 E 53Rd St , Anderson IN 46013-3164. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Millikan, David John can be contacted via phone (765) 649-2278.

Contact Information

Primary practice address
1921 E 53Rd St Anderson IN 46013-3164
Fax: (765) 622-7171
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002831A Indiana

Profile Details

NPI number 1144240706
LBN Legal business name Millikan, David John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 5th, 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 1144240706 NPPES
Indiana MEDICAID 200151240

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