Miller, Gary Michael
Miller, Gary Michael is an individual health care provider with primary practice located at 523 Hayes Ln , Petaluma CA 94952-4011. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Miller, Gary Michael can be contacted via phone (800) 257-8715.Contact Information
Primary practice address
523 Hayes Ln
Petaluma CA 94952-4011
Phone: (800) 257-8715
Fax: (800) 819-1655
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY15695 | California |
Profile Details
NPI number | 1932129327 |
---|---|
LBN Legal business name | Miller, Gary Michael |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1932129327 | NPPES |
California | Other | PSY156950 | RIVERSIDE COUNTY |
California | Other | 0PL156950 | RIVERSIDE COUNTY |
California | MEDICAID | PSY156950 | RIVERSIDE COUNTY |
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