Miller, Brett Christopher

Miller, Brett Christopher is an individual health care provider with primary practice located at 320 Mac Blvd , Nevada MO 64772-3990. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Miller, Brett Christopher can be contacted via phone (888) 403-1071.

Contact Information

Primary practice address
320 Mac Blvd Nevada MO 64772-3990
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2012036303 Missouri

Profile Details

NPI number 1922358613
LBN Legal business name Miller, Brett Christopher
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2012
Last updated Mar 26th, 2019 - about 5 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 1922358613 NPPES
Missouri MEDICAID 1922358613

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