Miller, Ronald Dale

Miller, Ronald Dale is an individual health care provider with primary practice located at 7979 W Rifleman St Suite 100, Boise ID 83704-9066. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Miller, Ronald Dale can be contacted via phone (208) 377-3850.

Contact Information

Primary practice address
7979 W Rifleman St Suite 100 Boise ID 83704-9066
Phone: (208) 377-3850
Fax: (208) 658-1360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1938 Idaho

Profile Details

NPI number 1952352601
LBN Legal business name Miller, Ronald Dale
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Aug 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952352601 NPPES
Idaho MEDICAID 807223700

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