Miller, Bryon W
Miller, Bryon W is an individual health care provider with primary practice located at 3834 S Emerson Ave Building C, Suite 100, Indianapolis IN 46203. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Miller, Bryon W can be contacted via phone (317) 782-1577.Contact Information
Primary practice address
3834 S Emerson Ave Building C, Suite 100
Indianapolis IN 46203
Phone: (317) 782-1577
Fax: (317) 782-5539
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 28147084A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71000896 | Indiana |
Profile Details
NPI number | 1184615999 |
---|---|
LBN Legal business name | Miller, Bryon W |
Credentials | MSN RNC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2005 |
Last updated | Aug 2nd, 2018 - about 7 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 | 1184615999 | NPPES |
Indiana | MEDICAID | 200279670A | |
Indiana | Other | 500017271 |
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