Miller, Michelle Ann

Miller, Michelle Ann is an individual health care provider with primary practice located at 2450 Ashby Ave Rm 3040 , Berkeley CA 94705-2067. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Miller, Michelle Ann can be contacted via phone (510) 204-3977.

Contact Information

Primary practice address
2450 Ashby Ave Rm 3040 Berkeley CA 94705-2067
Phone: (510) 204-3977
Fax: (510) 204-5429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A83619 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A83619 California

Profile Details

NPI number 1326126236
LBN Legal business name Miller, Michelle Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 2nd, 2022 - about 2 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 1326126236 NPPES
California MEDICAID 00A836190

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