Miller, Ca
Miller, Ca is an sole proprietor health care provider with primary practice located at 4275 Capital Ave Sw , Battle Creek MI 49015-9358. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Miller, Ca can be contacted via phone (269) 979-1561.Contact Information
Primary practice address
4275 Capital Ave Sw
Battle Creek MI 49015-9358
Phone: (269) 979-1561
Fax: (269) 979-1561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002557 | Michigan |
Profile Details
| NPI number | 1679621130 |
|---|---|
| LBN Legal business name | Miller, Ca |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jun 3rd, 2013 - about 12 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 | 1679621130 | NPPES |
| Michigan | Other | 0A36524 | PTAN |
| Michigan | MEDICAID | 5048562 | PTAN |
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