Miller, Glenda M

Miller, Glenda M is an sole proprietor health care provider with primary practice located at 211 W 7Th St , Newton KS 67114-1704. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, Glenda M can be contacted via phone (316) 284-2544.

Contact Information

Primary practice address
211 W 7Th St Newton KS 67114-1704
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2150 Kansas

Profile Details

NPI number 1417952292
LBN Legal business name Miller, Glenda M
Credentials LCSCW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Nov 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417952292 NPPES
Kansas MEDICAID 100395570A

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