Mills, Micah Sean
Mills, Micah Sean is an individual health care provider with primary practice located at 1702 S Kimball Ave , Caldwell ID 83605-4826. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mills, Micah Sean can be contacted via phone (208) 459-2641.Contact Information
Primary practice address
1702 S Kimball Ave
Caldwell ID 83605-4826
Phone: (208) 459-2641
Fax: (208) 459-2895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP100163 | Idaho |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3254AT | Oregon |
Profile Details
| NPI number | 1548468580 |
|---|---|
| LBN Legal business name | Mills, Micah Sean |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Oct 7th, 2010 - about 16 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 | 1548468580 | NPPES |
| Idaho | MEDICAID | 1548468580 |
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