Miller, David
Miller, David is an individual health care provider with primary practice located at 1309 Bennett Ave , Burley ID 83318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, David can be contacted via phone (208) 678-7796.Contact Information
Primary practice address
1309 Bennett Ave
Burley ID 83318
Phone: (208) 678-7796
Fax: (208) 678-7799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | O-1095 | Idaho |
Profile Details
| NPI number | 1164834040 |
|---|---|
| LBN Legal business name | Miller, David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2014 |
| Last updated | Mar 17th, 2021 - about 4 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 | 1164834040 | NPPES |
| Other | 1164834040 | NPI |
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