Provider Demographics
NPI:1912129107
Name:MILCH, L DOUGLAS (DPM)
Entity Type:Individual
Prefix:
First Name:L
Middle Name:DOUGLAS
Last Name:MILCH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 BILTMORE AVE
Mailing Address - Street 2:SUITE 3G
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4543
Mailing Address - Country:US
Mailing Address - Phone:828-252-9424
Mailing Address - Fax:828-251-1301
Practice Address - Street 1:417 BILTMORE AVE
Practice Address - Street 2:SUITE 3G
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4543
Practice Address - Country:US
Practice Address - Phone:828-252-9424
Practice Address - Fax:828-251-1301
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC211213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08041OtherBCBS OF NORTH CAROLINA
NCT64067OtherUPIN
NC8908041Medicaid
NC8908041Medicaid