Mills, Evelyn Moore
Mills, Evelyn Moore is an individual health care provider with primary practice located at 900 Illinois Ave , Stevens Point WI 54481-3114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mills, Evelyn Moore can be contacted via phone (715) 346-5000.Contact Information
Primary practice address
900 Illinois Ave
Stevens Point WI 54481-3114
Phone: (715) 346-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036.142223 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 240152 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 18169-875 | Wisconsin |
Profile Details
| NPI number | 1881628550 |
|---|---|
| LBN Legal business name | Mills, Evelyn Moore |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Mar 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881628550 | NPPES |
| New York | Other | 1881628550 | BCBS NY EXCELLUS |
| New York | Other | 204491209 | BCBS NY EXCELLUS |
| New York | MEDICAID | 02779697 | BCBS NY EXCELLUS |
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