Mcmillian, Sally Tachias

Mcmillian, Sally Tachias is an sole proprietor health care provider with primary practice located at 3285 E. Sparrow Ave , Flagstaff AZ 86004. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Mcmillian, Sally Tachias can be contacted via phone (928) 773-4112.

Contact Information

Primary practice address
3285 E. Sparrow Ave Flagstaff AZ 86004
Fax: (928) 773-4108
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 059325 Arizona

Profile Details

NPI number 1992917199
LBN Legal business name Mcmillian, Sally Tachias
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Jul 8th, 2007 - about 19 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 1992917199 NPPES
Arizona MEDICAID 556912

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