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NPI Code Detail

MEDICARE: WHITNEY MCMILLIN BSW

MEDICARE: WHITNEY MCMILLIN BSW
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1205128980
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY MCMILLIN BSW
Provider Business Mailing Address
First Line : 201 S WILLIAM ST
Second Line :
City : SOUTH BEND
State : IN
Zip : 46601-2515
Country : US
Telephone Number : 574-234-2870
Fax Number : 574-232-2872
Provider Business Practice Location Address
First Line : 201 S WILLIAM ST
Second Line :
City : SOUTH BEND
State : IN
Zip : 46601-2515
Country : US
Telephone Number : 574-234-2870
Fax Number : 574-232-2872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2011
Last Update Date : 05/12/2011

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Directions to “ WHITNEY MCMILLIN BSW” Practice Location

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