Mills, Denise A
Mills, Denise A is an individual health care provider with primary practice located at 3115 E Florence Dr , Meridian ID 83642-1586. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mills, Denise A can be contacted via phone (208) 895-8670.Contact Information
Primary practice address
3115 E Florence Dr
Meridian ID 83642-1586
Phone: (208) 895-8670
Fax: (208) 955-0494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M9421 | Idaho |
Profile Details
| NPI number | 1316901275 |
|---|---|
| LBN Legal business name | Mills, Denise A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Mar 9th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316901275 | NPPES |
| Idaho | MEDICAID | 80736340004 | |
| Idaho | Other | 20849 | |
| Idaho | Other | G69647 |
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