Miller, Michael A

Miller, Michael A is an sole proprietor health care provider with primary practice located at 800 Scenic Dr , Modesto CA 95350-6131. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Miller, Michael A can be contacted via phone (209) 525-6150.

Contact Information

Primary practice address
800 Scenic Dr Modesto CA 95350-6131
Phone: (209) 525-6150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C10261214 California
Other Service Providers / Peer Specialist 175T00000X MPSS-DPKVHU

Profile Details

NPI number 1295150837
LBN Legal business name Miller, Michael A
Credentials CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2014
Last updated May 2nd, 2024 - about 6 months 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 1295150837 NPPES
California MEDICAID 17500000X

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