Miller, Matthew K

Miller, Matthew K is an individual health care provider with primary practice located at 1001 Gause Blvd , Slidell LA 70458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Miller, Matthew K can be contacted via phone (985) 649-8767.

Contact Information

Primary practice address
1001 Gause Blvd Slidell LA 70458
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 021272 Louisiana

Profile Details

NPI number 1245233774
LBN Legal business name Miller, Matthew K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated Jul 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245233774 NPPES
Louisiana MEDICAID 1661651

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