Miller, Thomas William
Miller, Thomas William is an sole proprietor health care provider with primary practice located at 11417 Hanson Blvd Nw Suite 101, Coon Rapids MN 55433-3719. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Miller, Thomas William can be contacted via phone (763) 754-1482.Contact Information
Primary practice address
11417 Hanson Blvd Nw Suite 101
Coon Rapids MN 55433-3719
Phone: (763) 754-1482
Fax: (763) 754-6116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | 1759 | Minnesota |
Profile Details
| NPI number | 1902843600 |
|---|---|
| LBN Legal business name | Miller, Thomas William |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jun 8th, 2012 - about 12 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 | 1902843600 | NPPES |
| Minnesota | MEDICAID | 223027500 |
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