Miller, Dustin
Miller, Dustin is an individual health care provider with primary practice located at 1455 Farr Rd , Norton Shores MI 49444-9738. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Miller, Dustin can be contacted via phone (231) 737-0411.Contact Information
Primary practice address
1455 Farr Rd
Norton Shores MI 49444-9738
Phone: (231) 737-0411
Fax: (231) 739-8502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301105821 | Michigan |
Profile Details
| NPI number | 1225440274 |
|---|---|
| LBN Legal business name | Miller, Dustin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2014 |
| Last updated | Jun 16th, 2018 - about 6 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 | 1225440274 | NPPES |
| Michigan | MEDICAID | 1225440274 |
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