Millis, Wendy Ann

Millis, Wendy Ann is an individual health care provider with primary practice located at 3600 Kolbe Rd Ste 209 , Lorain OH 44053-1652. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Millis, Wendy Ann can be contacted via phone (440) 960-6500.

Contact Information

Primary practice address
3600 Kolbe Rd Ste 209 Lorain OH 44053-1652
Fax: (440) 960-6515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35073484 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35073484C Ohio

Profile Details

NPI number 1457339418
LBN Legal business name Millis, Wendy Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Mar 8th, 2021 - about 3 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 1457339418 NPPES
Ohio MEDICAID 2122705

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