Miller, Natasha

Miller, Natasha is an individual health care provider with primary practice located at 315 E Elm Ste 100, Caldwell ID 83605-4858. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miller, Natasha can be contacted via phone (208) 459-7415.

Contact Information

Primary practice address
315 E Elm Ste 100 Caldwell ID 83605-4858
Fax: (208) 453-3307
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30301 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-10367 Idaho

Profile Details

NPI number 1144299678
LBN Legal business name Miller, Natasha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Nov 10th, 2016 - about 8 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 1144299678 NPPES
Arizona MEDICAID 712598

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