Millsap, Charles Mark

Millsap, Charles Mark is an individual health care provider with primary practice located at 2845 Farrell Crescent , Owensboro KY 42303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Millsap, Charles Mark can be contacted via phone (270) 926-3297.

Contact Information

Primary practice address
2845 Farrell Crescent Owensboro KY 42303
Phone: (270) 926-3297
Fax: (270) 926-7325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 30334 Kentucky
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01043469A Indiana

Profile Details

NPI number 1932103736
LBN Legal business name Millsap, Charles Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 23rd, 2009 - about 17 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 1932103736 NPPES
Indiana Other 000000273547 ANTHEM
Indiana Other 180018982 ANTHEM
Indiana MEDICAID 100361620 ANTHEM
Indiana MEDICAID 64303340 ANTHEM

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