Miller, Don Edward
Miller, Don Edward is an individual health care provider with primary practice located at 815 3Rd Ave Suite 307, Chula Vista CA 91911-1311. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Miller, Don Edward can be contacted via phone (619) 422-2458.Contact Information
Primary practice address
815 3Rd Ave Suite 307
Chula Vista CA 91911-1311
Phone: (619) 422-2458
Fax: (619) 422-1905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY3155 | California |
Profile Details
NPI number | 1124068010 |
---|---|
LBN Legal business name | Miller, Don Edward |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1124068010 | NPPES |
California | Other | 19815200 | US DEPT OF LABOR |
California | Other | 6136836 | US DEPT OF LABOR |
California | Other | 64087777 | US DEPT OF LABOR |
California | MEDICAID | 00PL31550 | US DEPT OF LABOR |
California | Other | 133921000 | US DEPT OF LABOR |
California | Other | 36836 | US DEPT OF LABOR |
California | Other | 076465 | US DEPT OF LABOR |
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