Miller, Ann Catherine

Miller, Ann Catherine is an individual health care provider with primary practice located at 3280 E Lanark Dr , Meridian ID 83642-5982. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miller, Ann Catherine can be contacted via phone (208) 377-4400.

Contact Information

Primary practice address
3280 E Lanark Dr Meridian ID 83642-5982
Fax: (208) 377-4416
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R881 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X O 0490 Idaho

Profile Details

NPI number 1306020086
LBN Legal business name Miller, Ann Catherine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Jul 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306020086 NPPES
Idaho MEDICAID 80809500

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