Mills, Shantia J.
Mills, Shantia J. is an sole proprietor health care provider with primary practice located at 510 May St , Fremont OH 43420-2521. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Mills, Shantia J. can be contacted via phone (567) 314-2132.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
Profile Details
NPI number | 1841902392 |
---|---|
LBN Legal business name | Mills, Shantia J. |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 15th, 2022 |
Last updated | Dec 15th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841902392 | NPPES |
Ohio | MEDICAID | TK449640 |
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