Miller, Robert Bruce
Miller, Robert Bruce is an sole proprietor health care provider with primary practice located at 4535 Mattos Drive , Fremont CA 94536-6719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Miller, Robert Bruce can be contacted via phone (510) 795-7746.Contact Information
Primary practice address
4535 Mattos Drive
Fremont CA 94536-6719
Phone: (510) 795-7746
Fax: (510) 795-7710
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | A76380 | California |
Profile Details
NPI number | 1841293271 |
---|---|
LBN Legal business name | Miller, Robert Bruce |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 31st, 2005 |
Last updated | Apr 20th, 2011 - about 13 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 | 1841293271 | NPPES |
California | MEDICAID | 00A76380 |
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