Miller, Mindy Sue

Miller, Mindy Sue is an individual health care provider with primary practice located at 148 W Washington St Ste A , Marquette MI 49855-4383. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, Mindy Sue can be contacted via phone (906) 273-2507.

Contact Information

Primary practice address
148 W Washington St Ste A Marquette MI 49855-4383
Fax: (906) 273-2507
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801071650 Michigan

Profile Details

NPI number 1508849159
LBN Legal business name Miller, Mindy Sue
Credentials MSW CSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Oct 23rd, 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 1508849159 NPPES
Michigan MEDICAID 1508849159

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