Miller, Quenessa C

Miller, Quenessa C is an individual health care provider with primary practice located at 400 Renaissance Ctr Ste 2600 , Detroit MI 48243. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Technologists, Technicians & Other Technical Service Providers / Technician, Other is her primary health care specialty. Miller, Quenessa C can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
400 Renaissance Ctr Ste 2600 Detroit MI 48243
Phone: (855) 832-6727
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Health Information 247000000X Michigan
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1366959710
LBN Legal business name Miller, Quenessa C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2018
Last updated Sep 4th, 2019 - about 5 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 1366959710 NPPES
Michigan MEDICAID 247200000X

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