Millie, Annette Rose

Millie, Annette Rose is an sole proprietor health care provider with primary practice located at 831 S Wynn Rd , Oregon OH 43616-3527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Millie, Annette Rose can be contacted via phone (419) 693-0793.

Contact Information

Primary practice address
831 S Wynn Rd Oregon OH 43616-3527
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 067198 Ohio

Profile Details

NPI number 1740220086
LBN Legal business name Millie, Annette Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Sep 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740220086 NPPES
Ohio MEDICAID 0198129
Ohio MEDICAID 3810027507

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