Miller, Max A
Miller, Max A is an sole proprietor health care provider with primary practice located at 34 Patchen Rd , South Burlington VT 05403-5704. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Miller, Max A can be contacted via phone (802) 658-4208.Contact Information
Primary practice address
34 Patchen Rd
South Burlington VT 05403-5704
Phone: (802) 658-4208
Fax: (802) 658-2234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680000523 | Vermont |
Profile Details
| NPI number | 1336263987 |
|---|---|
| LBN Legal business name | Miller, Max A |
| Credentials | M.A., LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1336263987 | NPPES |
| Vermont | MEDICAID | 1007669 |
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