Miller, Bruce Kenneth
Miller, Bruce Kenneth is an individual health care provider with primary practice located at 42557 Woodward Ave Ste 210 , Bloomfield Hills MI 48304-5206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Miller, Bruce Kenneth can be contacted via phone (248) 253-1608.Contact Information
Primary practice address
42557 Woodward Ave Ste 210
Bloomfield Hills MI 48304-5206
Phone: (248) 253-1608
Fax: (248) 253-1660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301047312 | Michigan |
Profile Details
| NPI number | 1689638694 |
|---|---|
| LBN Legal business name | Miller, Bruce Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Mar 3rd, 2014 - about 10 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 | 1689638694 | NPPES |
| Michigan | Other | 700F37550 | BCBSM |
| Michigan | Other | 700F37550 | BCBSM |
| Michigan | Other | 38-3468933 | BCBSM |
| Michigan | Other | B46985 | BCBSM |
| Michigan | MEDICAID | 4696880-10 | BCBSM |
| Michigan | Other | C5244 | BCBSM |
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