Miller, Shawn Russell

Miller, Shawn Russell is an sole proprietor health care provider with primary practice located at 1900 Pine St , Abilene TX 79601-2432. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Miller, Shawn Russell can be contacted via phone (325) 676-0577.

Contact Information

Primary practice address
1900 Pine St Abilene TX 79601-2432
Phone: (325) 676-0577
Fax: (325) 672-9869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 617608 Texas

Profile Details

NPI number 1083612428
LBN Legal business name Miller, Shawn Russell
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Jan 24th, 2017 - about 7 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 1083612428 NPPES
Texas MEDICAID 171072501

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