Miller, David B

Miller, David B is an sole proprietor health care provider with primary practice located at 6 6Th St Suite 205 Central Building, Bristol TN 37620-2237. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Miller, David B can be contacted via phone (423) 968-2225.

Contact Information

Primary practice address
6 6Th St Suite 205 Central Building Bristol TN 37620-2237
Fax: (423) 968-2225
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW1101 Tennessee

Profile Details

NPI number 1083612204
LBN Legal business name Miller, David B
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated May 4th, 2009 - 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 1083612204 NPPES
Tennessee MEDICAID 3696440

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