Miller, Mark Lee

Miller, Mark Lee is an individual health care provider with primary practice located at 1431 Premier Dr , Mankato MN 56001-6076. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Miller, Mark Lee can be contacted via phone (507) 386-6650.

Contact Information

Primary practice address
1431 Premier Dr Mankato MN 56001-6076
Phone: (507) 386-6650
Fax: (507) 345-4416
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1298 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1014 Minnesota

Profile Details

NPI number 1902864648
LBN Legal business name Miller, Mark Lee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Nov 1st, 2011 - about 13 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 1902864648 NPPES
Minnesota Other A025 TRICARE
Minnesota Other HP34312 TRICARE
Minnesota Other 126934E354 TRICARE
Minnesota Other 33441MI TRICARE
Minnesota Other 6400235 TRICARE
Minnesota Other 983181027668 TRICARE
Minnesota Other 6400223 TRICARE

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