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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1316901275 NPPES
Idaho MEDICAID 80736340004
Idaho Other 20849
Idaho Other G69647

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