Petersen, Millie Williams

Petersen, Millie Williams is an individual health care provider with primary practice located at 119 Main St W Suite A, Oak Hill WV 25901-2943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Petersen, Millie Williams can be contacted via phone (304) 465-0544.

Contact Information

Primary practice address
119 Main St W Suite A Oak Hill WV 25901-2943
Fax: (304) 465-8832
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0942 West Virginia

Profile Details

NPI number 1972565653
LBN Legal business name Petersen, Millie Williams
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Dec 21st, 2010 - about 15 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 1972565653 NPPES
West Virginia MEDICAID 0084786001

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