Mills, Keith D.

Mills, Keith D. is an sole proprietor health care provider with primary practice located at 2509 Ocoee St N Suite D, Cleveland TN 37312-5369. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mills, Keith D. can be contacted via phone (423) 478-2225.

Contact Information

Primary practice address
2509 Ocoee St N Suite D Cleveland TN 37312-5369
Fax: (423) 479-7080
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC0000000339 Tennessee

Profile Details

NPI number 1770636169
LBN Legal business name Mills, Keith D.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 18 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 1770636169 NPPES
Tennessee MEDICAID 3672754

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