Miller, William Bradley

Miller, William Bradley is an sole proprietor health care provider with primary practice located at 103 Providence Mine Rd Suite 104 D, Nevada City CA 95959-2941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Miller, William Bradley can be contacted via phone (530) 478-1536.

Contact Information

Primary practice address
103 Providence Mine Rd Suite 104 D Nevada City CA 95959-2941
Phone: (530) 478-1536
Fax: (530) 478-1536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X G52487 California

Profile Details

NPI number 1255317681
LBN Legal business name Miller, William Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated Apr 15th, 2008 - about 17 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 1255317681 NPPES
California MEDICAID 00G524870

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