Mills, Brian Glenn

Mills, Brian Glenn is an sole proprietor health care provider with primary practice located at 975 Saint John Pl Ste B, Hemet CA 92543-4428. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Mills, Brian Glenn can be contacted via phone (951) 658-2256.

Contact Information

Primary practice address
975 Saint John Pl Ste B Hemet CA 92543-4428
Fax: (951) 658-8956
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E4315 California

Profile Details

NPI number 1386647220
LBN Legal business name Mills, Brian Glenn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Mar 16th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386647220 NPPES
California Other E4315 LICENSE
California Other P00101130 LICENSE
California MEDICAID 000E43150 LICENSE

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