Millican, Katie Michelle

Millican, Katie Michelle is an individual health care provider with primary practice located at 3505 East Meridian Park Loop, Ste. 200 , Wasilla AK 99654. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Millican, Katie Michelle can be contacted via phone (907) 232-6322.

Contact Information

Primary practice address
3505 East Meridian Park Loop, Ste. 200 Wasilla AK 99654
Phone: (907) 232-6322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 546 Alaska

Profile Details

NPI number 1871986745
LBN Legal business name Millican, Katie Michelle
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2015
Last updated Dec 20th, 2018 - about 8 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 1871986745 NPPES
Alaska MEDICAID 1651831

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