Miller, Judy Angela
Miller, Judy Angela is an individual health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Miller, Judy Angela can be contacted via phone (505) 609-2000.Contact Information
Primary practice address
801 W Maple St
Farmington NM 87401-5630
Phone: (505) 609-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO2022-0067 | New Mexico |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4215 | Oklahoma |
Profile Details
NPI number | 1417903329 |
---|---|
LBN Legal business name | Miller, Judy Angela |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2006 |
Last updated | Feb 16th, 2024 - about last year |
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 | 1417903329 | NPPES |
Oklahoma | MEDICAID | 200061470A |
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