Healthcare Provider Details

I. General information

NPI: 1164443123
Provider Name (Legal Business Name): JAMES S MILLIGAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 11/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 JACKSON ST STE 115
ANDERSON IN
46016-4388
US

IV. Provider business mailing address

PO BOX 6069
INDIANAPOLIS IN
46206-6069
US

V. Phone/Fax

Practice location:
  • Phone: 765-643-6961
  • Fax:
Mailing address:
  • Phone: 317-802-3108
  • Fax: 317-870-0499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES MILLIGAN
Title or Position: PRESIDENT
Credential: MD
Phone: 765-643-6961