Miller, Wallace Martin

Miller, Wallace Martin is an sole proprietor health care provider with primary practice located at 2130 E Howe Ave Thew Elementary School, Tempe AZ 85281-4818. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Miller, Wallace Martin can be contacted via phone (480) 730-7000.

Contact Information

Primary practice address
2130 E Howe Ave Thew Elementary School Tempe AZ 85281-4818
Phone: (480) 730-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 3489934 Arizona

Profile Details

NPI number 1922334119
LBN Legal business name Miller, Wallace Martin
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2009
Last updated Oct 23rd, 2009 - about 15 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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