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Contact Information

JOHNATHON D MILLWEE, ATC
4802 S 109TH EAST AVE
TULSA, OK74146
 Phone: 580-302-1121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JOHNATHON D MILLWEE · (Male)

NPI # 1730685314
Status Active
Credentials ATC
Entity Individual
Enumeration date 04/03/2018
Last updated 02/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 803
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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