Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 35045924M | OH |
Y | 207Q00000X | Family Doctor | 35045924M | OH |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 35045924M | OH |
NPI | 1114903721 |
---|---|
Provider Name | Dr. Jeffrey William Milks |
First Address | New Albany, OH 43054-7085 |
Second Address | New Albany, OH 43054-7085 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2005 |
Last Update Date | 30/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A79981 | (02) |