Mills, Geoffrey Caleb

Mills, Geoffrey Caleb is an individual health care provider with primary practice located at 225 Abraham Flexner Way Suite 302, Louisville KY 40202-1882. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Mills, Geoffrey Caleb can be contacted via phone (502) 587-7874.

Contact Information

Primary practice address
225 Abraham Flexner Way Suite 302 Louisville KY 40202-1882
Fax: (502) 587-0758
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 43017 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8703 Kentucky

Profile Details

NPI number 1760521850
LBN Legal business name Mills, Geoffrey Caleb
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 12th, 2017 - about 7 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 1760521850 NPPES
Kentucky MEDICAID 7100089900
Kentucky MEDICAID 7100085770
Kentucky MEDICAID 201055810

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