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Contact Information

MILLICENT K CHANNELL, DO
42 E LAUREL RD STE 1700
STRATFORD, NJ08084-1354
 Phone: 856-566-7010
 Fax: 856-566-6956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MILLICENT K CHANNELL · (Female)

NPI # 1043280159
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/23/2006
Last updated 03/07/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MB07492500
  • NJ Medicaid 0068381
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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