Millsap, Lewis John
Millsap, Lewis John is an individual health care provider with primary practice located at 655 E Main St , Peru IN 46970-2662. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Millsap, Lewis John can be contacted via phone (765) 472-1931.Contact Information
Primary practice address
655 E Main St
Peru IN 46970-2662
Phone: (765) 472-1931
Fax: (765) 472-1945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 00270 | Indiana |
Profile Details
| NPI number | 1760655849 |
|---|---|
| LBN Legal business name | Millsap, Lewis John |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2008 |
| Last updated | Apr 9th, 2008 - about 18 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 | 1760655849 | NPPES |
| Indiana | Other | 00270 | ICAC |
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