McMILLION, VIRGIL WAID
Debarred entityUnited States. Named in 3 sanctions listings.
Summary
License number: PROMISe# 103776531
Sanctions and listings3
- Effective
- 15 Apr 2022
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited States
- Effective
- 15 Apr 2022
- Ended
- 16 Nov 2023
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 15 Apr 2022
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Federal and PA indefinite suspension Criminal Conviction
Positions held1
Period not retained
DO
Identifiers2
| Identifier | Number |
|---|---|
| ID number | OS020416 |
| NPI number | 1073520466 |
Other names2
Also known as2
Addresses2
(WV), (WV)
232 SANTORINI AVENUE, MORGANTOWN, WV 26508
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