MEDICARE: MR. RYAN JAMES MILLS AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	A.01282	OH

General Provider Information

NPI Number	:	1144291188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RYAN JAMES MILLS AU.D.

Provider Business Mailing Address
First Line	:	6342 COUGAR PATH
Second Line	:
City	:	LIBERTY TOWNSHIP
State	:	OH
Zip	:	45044-8647
Country	:	US
Telephone Number	:	513-847-1990
Fax Number	:

Provider Business Practice Location Address
First Line	:	8044 MONTGOMERY RD
Second Line	:	SUITE 700
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2919
Country	:	US
Telephone Number	:	513-792-4065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2006
Last Update Date	:	03/03/2014

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