1174195226 NPI number — MRS. SARAH NICOLE MILLING TLMHC

Table of content: MRS. SARAH NICOLE MILLING TLMHC (NPI 1174195226)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174195226 NPI number — MRS. SARAH NICOLE MILLING TLMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILLING
Provider First Name:
SARAH
Provider Middle Name:
NICOLE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
TLMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LEFF
Provider Other First Name:
SARAH
Provider Other Middle Name:
NICOLE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
TLMHC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1174195226
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
520 11TH ST NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CEDAR RAPIDS
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52405-3811
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-398-3562
Provider Business Mailing Address Fax Number:
319-398-3501

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
520 11TH ST NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CEDAR RAPIDS
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52405-3811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-398-3562
Provider Business Practice Location Address Fax Number:
319-398-3501
Provider Enumeration Date:
07/16/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  108471 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)