Mills, Charles David

Mills, Charles David is an sole proprietor health care provider with primary practice located at 4151 17 Mile Rd Ste D , Sterling Heights MI 48310-6866. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mills, Charles David can be contacted via phone (586) 268-6712.

Contact Information

Primary practice address
4151 17 Mile Rd Ste D Sterling Heights MI 48310-6866
Fax: (586) 268-6908
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301002979 Michigan

Profile Details

NPI number 1790881134
LBN Legal business name Mills, Charles David
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 18 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 1790881134 NPPES
Michigan Other 042878 VALUE OPTIONS

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