Miller, Gary Thomas
Miller, Gary Thomas is an sole proprietor health care provider with primary practice located at 800 N Rainbow Blvd Ste 100 , Las Vegas NV 89107. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Miller, Gary Thomas can be contacted via phone (702) 948-5011.Contact Information
Primary practice address
800 N Rainbow Blvd Ste 100
Las Vegas NV 89107
Phone: (702) 948-5011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X |
Profile Details
| NPI number | 1477956936 |
|---|---|
| LBN Legal business name | Miller, Gary Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2014 |
| Last updated | Oct 24th, 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 | 1477956936 | NPPES |
| Nevada | MEDICAID | 1477956936 |
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