Miller, Mollie T
Miller, Mollie T is an individual health care provider with primary practice located at 1339 Phay Ave , Canon City CO 81212-2301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Miller, Mollie T can be contacted via phone (719) 285-2700.Contact Information
Primary practice address
1339 Phay Ave
Canon City CO 81212-2301
Phone: (719) 285-2700
Fax: (719) 285-2455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 48291 | Colorado |
Profile Details
| NPI number | 1053638064 |
|---|---|
| LBN Legal business name | Miller, Mollie T |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2010 |
| Last updated | Apr 29th, 2010 - about 14 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 | 1053638064 | NPPES |
| Colorado | Other | 48291 | STATE LICENSE |
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