Miller, Michelle R

Miller, Michelle R is an individual health care provider with primary practice located at 325 Mdg, 340 Magmolia Cir , Tyndall, Afb FL 32403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Miller, Michelle R can be contacted via phone (608) 797-6826.

Contact Information

Primary practice address
325 Mdg, 340 Magmolia Cir Tyndall, Afb FL 32403
Phone: (608) 797-6826
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1843 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1349 Wisconsin

Profile Details

NPI number 1497759930
LBN Legal business name Miller, Michelle R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated May 9th, 2018 - about 6 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 1497759930 NPPES
Wisconsin MEDICAID 41921900

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