Mills, John Edwin

Mills, John Edwin is an individual health care provider with primary practice located at 1005 Mar Walt Dr Immediate Care Department, Fort Walton Beach FL 32547-6707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mills, John Edwin can be contacted via phone (850) 863-8219.

Contact Information

Primary practice address
1005 Mar Walt Dr Immediate Care Department Fort Walton Beach FL 32547-6707
Phone: (850) 863-8219
Fax: (850) 863-8249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME94038 Florida

Profile Details

NPI number 1437134301
LBN Legal business name Mills, John Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 16th, 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 1437134301 NPPES
Florida Other 28702 BCBSFL
Florida MEDICAID 273631400 BCBSFL

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