Miller, Michael Lawrence
Miller, Michael Lawrence is an sole proprietor health care provider with primary practice located at 4207 E Cotton Center Blvd # Cc10 , Phoenix AZ 85040-8893. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Miller, Michael Lawrence can be contacted via phone (602) 648-8900.Contact Information
Primary practice address
4207 E Cotton Center Blvd # Cc10
Phoenix AZ 85040-8893
Phone: (602) 648-8900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 43915 | Colorado |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 43915 | Colorado |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 005353 | Arizona |
Profile Details
| NPI number | 1912976770 |
|---|---|
| LBN Legal business name | Miller, Michael Lawrence |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Mar 21st, 2018 - about 7 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 | 1912976770 | NPPES |
| Wyoming | MEDICAID | 121885900 | |
| Wyoming | MEDICAID | 67175830 | |
| Wyoming | MEDICAID | Z2953 | |
| Wyoming | MEDICAID | 149056 | |
| Wyoming | MEDICAID | 826380900 | |
| Wyoming | MEDICAID | 977027 |
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