Miller, Betsy Olivia

Miller, Betsy Olivia is an individual health care provider with primary practice located at 2035 W Iles Ave Suite C, Springfield IL 62704-4192. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Miller, Betsy Olivia can be contacted via phone (217) 679-5080.

Contact Information

Primary practice address
2035 W Iles Ave Suite C Springfield IL 62704-4192
Phone: (217) 679-5080
Fax: (217) 679-5386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X M460-0749-0640 Illinois

Profile Details

NPI number 1629499611
LBN Legal business name Miller, Betsy Olivia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2013
Last updated Dec 18th, 2013 - about 11 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 1629499611 NPPES
Illinois Other M460-0749-0640 DRIVERS LICENSE

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