Miller, Mark Alan
Miller, Mark Alan is an individual health care provider with primary practice located at 1745 W Hunt Hwy Ste. 103, Queen Creek AZ 85143-5215. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Miller, Mark Alan can be contacted via phone (480) 677-3702.Contact Information
Primary practice address
1745 W Hunt Hwy Ste. 103
Queen Creek AZ 85143-5215
Phone: (480) 677-3702
Fax: (480) 677-3724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5574 | Arizona |
Profile Details
| NPI number | 1659377364 |
|---|---|
| LBN Legal business name | Miller, Mark Alan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Nov 13th, 2009 - about 16 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 | 1659377364 | NPPES |
| Arizona | Other | 00033731 | BANNER HEALTHCARE |
| Arizona | Other | AZ0938560 | BANNER HEALTHCARE |
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