Millar, Mark Marshall
Millar, Mark Marshall is an individual health care provider with primary practice located at 1179 E Paris Ave Se Suite 150, Grand Rapids MI 49546-8371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Millar, Mark Marshall can be contacted via phone (616) 957-1912.Contact Information
Primary practice address
1179 E Paris Ave Se Suite 150
Grand Rapids MI 49546-8371
Phone: (616) 957-1912
Fax: (616) 957-0074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 4301071401 | Michigan |
Profile Details
| NPI number | 1962627802 |
|---|---|
| LBN Legal business name | Millar, Mark Marshall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | May 14th, 2014 - about 12 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 | 1962627802 | NPPES |
| Michigan | MEDICAID | 347887810 |
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