Individual
DERRICK EARNEST MILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3953 ADAMS ST, GARY, IN 46408-2714
(219) 951-8684
Mailing address
3953 ADAMS ST, GARY, IN 46408-2714
(219) 951-8684
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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