Miller, Matthew Walter
Miller, Matthew Walter is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Miller, Matthew Walter can be contacted via phone (701) 234-2441.Contact Information
Primary practice address
801 Broadway N
Fargo ND 58122
Phone: (701) 234-2441
Fax: (701) 234-2606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 11582 | South Dakota |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 13161 | North Dakota |
Profile Details
| NPI number | 1942416714 |
|---|---|
| LBN Legal business name | Miller, Matthew Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2007 |
| Last updated | May 27th, 2022 - about 3 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 | 1942416714 | NPPES |
| North Dakota | MEDICAID | 81269 |
Popular Providers
-
Bruns, Alan D
1702 University Dr S , Fargo ND 58103-4940 -
Belizario, Francisco Y
1702 University Dr S , Fargo ND 58103-4940 -
Williams, Paul Martin
1702 University Dr S , Fargo ND 58103 -
Reynolds, Jeffrey C
737 Broadway N , Fargo ND 58122-0001 -
Wink, Sue Karen
1800 21St Ave S , Fargo ND 58103-5759 -
Bellis, Morris E
1800 21St Ave S , Fargo ND 58103-5759 -
Terrell, Andrew Michael
801 Broadway N , Fargo ND 58102-3641 -
Graham, Jon Wessley
1702 University Dr S , Fargo ND 58103-4940