Mills, Justin Gerard

Mills, Justin Gerard is an individual health care provider with primary practice located at 1440 Hawthorne Ave , Columbus OH 43203-1665. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Mills, Justin Gerard can be contacted via phone (937) 789-3423.

Contact Information

Primary practice address
1440 Hawthorne Ave Columbus OH 43203-1665
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 35-05-0604-M Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35050604 Ohio

Profile Details

NPI number 1952306797
LBN Legal business name Mills, Justin Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Mar 7th, 2023 - about last year

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 1952306797 NPPES
Ohio MEDICAID 0558338

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