Miller, Connie S

Miller, Connie S is an individual health care provider with primary practice located at 123 E Johnson Ave , Chelan WA 98816-0006. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Miller, Connie S can be contacted via phone (509) 682-4713.

Contact Information

Primary practice address
123 E Johnson Ave Chelan WA 98816-0006
Phone: (509) 682-4713
Fax: (509) 682-3218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 025205 PT00002409 Washington

Profile Details

NPI number 1346221389
LBN Legal business name Miller, Connie S
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Aug 13th, 2010 - about 15 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 1346221389 NPPES
Washington Other 33461 L&I ID
Washington MEDICAID 8335598 L&I ID

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