Miller, Phillip M
Miller, Phillip M is an individual health care provider with primary practice located at 408 Pine St , Mount Shasta CA 96067-2126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Phillip M can be contacted via phone (530) 926-7196.Contact Information
Primary practice address
408 Pine St
Mount Shasta CA 96067-2126
Phone: (530) 926-7196
Fax: (530) 926-1026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G86729 | California |
Profile Details
| NPI number | 1285625350 |
|---|---|
| LBN Legal business name | Miller, Phillip M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Jul 18th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285625350 | NPPES |
| California | MEDICAID | 00G867290 |
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