Miller, Mindy Lynn

Miller, Mindy Lynn is an individual health care provider with primary practice located at 19540 6565 Road , Montrose CO 81403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miller, Mindy Lynn can be contacted via phone (970) 367-1414.

Contact Information

Primary practice address
19540 6565 Road Montrose CO 81403
Fax: (970) 572-9641
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36118 Colorado

Profile Details

NPI number 1770582025
LBN Legal business name Miller, Mindy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 19th, 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 1770582025 NPPES
Colorado Other 640571 BLUE CROSS BLUE SHIELD
Colorado MEDICAID 345777751 BLUE CROSS BLUE SHIELD

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