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

Primary practice address
510 May St Fremont OH 43420-2521
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841902392 NPPES
Ohio MEDICAID TK449640

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