Miller, Ronald Boa
Miller, Ronald Boa is an sole proprietor health care provider with primary practice located at 4402 E Aloha Dr , Diamondhead MS 39525-3349. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Miller, Ronald Boa can be contacted via phone (228) 364-9001.Contact Information
Primary practice address
4402 E Aloha Dr
Diamondhead MS 39525-3349
Phone: (228) 364-9001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R880596 | Mississippi |
Profile Details
| NPI number | 1245571124 |
|---|---|
| LBN Legal business name | Miller, Ronald Boa |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2013 |
| Last updated | Nov 21st, 2022 - about 3 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 | 1245571124 | NPPES |
| Mississippi | MEDICAID | 05579539 |
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