Miller, Brenda L
Miller, Brenda L is an individual health care provider with primary practice located at 1040 Tacoma Avenue South , Bismarck ND 58504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miller, Brenda L can be contacted via phone (701) 323-6990.Contact Information
Primary practice address
1040 Tacoma Avenue South
Bismarck ND 58504
Phone: (701) 323-6990
Fax: (701) 323-6982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7469 | North Dakota |
Profile Details
| NPI number | 1619089109 |
|---|---|
| LBN Legal business name | Miller, Brenda L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jan 12th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619089109 | NPPES |
| North Dakota | MEDICAID | 18976 |
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