Mills, Wayne M

Mills, Wayne M is an individual health care provider with primary practice located at 40 W Franklin Rd C/O Communicare, Meridian ID 83642-2965. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mills, Wayne M can be contacted via phone (208) 861-3648.

Contact Information

Primary practice address
40 W Franklin Rd C/O Communicare Meridian ID 83642-2965
Phone: (208) 861-3648
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X RPT-048 Idaho

Profile Details

NPI number 1821089061
LBN Legal business name Mills, Wayne M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 9th, 2007 - about 19 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 1821089061 NPPES
Idaho Other T-0387 BLUE CROSS OF IDAHO

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