Miller, David Ethan

Miller, David Ethan is an sole proprietor health care provider with primary practice located at 400 S Mccaslin Blvd Ste 110 , Louisville CO 80027-9701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Miller, David Ethan can be contacted via phone (720) 279-9682.

Contact Information

Primary practice address
400 S Mccaslin Blvd Ste 110 Louisville CO 80027-9701
Phone: (720) 279-9682
Fax: (720) 279-9687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0043394 Colorado

Profile Details

NPI number 1013916972
LBN Legal business name Miller, David Ethan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Jul 28th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013916972 NPPES
Colorado Other C805046 MEDICARE PTAN

Popular Providers