Mills, Charles S

Mills, Charles S is an individual health care provider with primary practice located at 630 Plantation St , Worcester MA 01605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Mills, Charles S can be contacted via phone (508) 595-2000.

Contact Information

Primary practice address
630 Plantation St Worcester MA 01605
Fax: (508) 853-7149
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46544 Massachusetts
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 16080 New Hampshire

Profile Details

NPI number 1831165190
LBN Legal business name Mills, Charles S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 18th, 2013 - about 11 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 1831165190 NPPES
Massachusetts MEDICAID 3100481

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