Miller, Sally
Miller, Sally is an individual health care provider with primary practice located at 906 Business Park Dr , Traverse City MI 49686-8683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miller, Sally can be contacted via phone (800) 968-6866.Contact Information
Primary practice address
906 Business Park Dr
Traverse City MI 49686-8683
Phone: (800) 968-6866
Fax: (616) 532-7230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101009568 | Michigan |
Profile Details
| NPI number | 1588663041 |
|---|---|
| LBN Legal business name | Miller, Sally |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Feb 21st, 2008 - about 16 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 | 1588663041 | NPPES |
| Michigan | MEDICAID | 4602759 | |
| Michigan | Other | SM009568 |
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