Mcmillian, Raekesha Lachelle
Mcmillian, Raekesha Lachelle is an sole proprietor health care provider with primary practice located at 820 Watkins St Se , Grand Rapids MI 49507-1345. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, which is considered as her primary health care specialty. Mcmillian, Raekesha Lachelle can be contacted via phone (616) 427-4570.Contact Information
Primary practice address
820 Watkins St Se
Grand Rapids MI 49507-1345
Phone: (616) 427-4570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances | 3104A0630X | AS410388538 | Michigan |
Profile Details
| NPI number | 1053837922 |
|---|---|
| LBN Legal business name | Mcmillian, Raekesha Lachelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2017 |
| Last updated | Aug 22nd, 2017 - about 9 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 | 1053837922 | NPPES |
| Michigan | MEDICAID | W314730488684 |
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