Windmill, Ian M

Windmill, Ian M is an individual health care provider with primary practice located at 2500 N State St Department Of Otolaryngology, Jackson MS 39216-4500. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Windmill, Ian M can be contacted via phone (601) 984-5160.

Contact Information

Primary practice address
2500 N State St Department Of Otolaryngology Jackson MS 39216-4500
Phone: (601) 984-5160
Fax: (601) 815-6985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 0100 Kentucky
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A3324 Mississippi

Profile Details

NPI number 1154391068
LBN Legal business name Windmill, Ian M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jan 31st, 2014 - about 12 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 1154391068 NPPES
Kentucky Other 1085858 PASSPORT
Kentucky MEDICAID 70001003 PASSPORT
Kentucky MEDICAID 01531216 PASSPORT
Kentucky MEDICAID 100345580A PASSPORT

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