Price-Miller, Marcia D

Price-Miller, Marcia D is an individual health care provider with primary practice located at 100 Cottonwood Ct Suite 150, Eagle ID 83616-6545. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Price-Miller, Marcia D can be contacted via phone (208) 841-5965.

Contact Information

Primary practice address
100 Cottonwood Ct Suite 150 Eagle ID 83616-6545
Phone: (208) 841-5965
Fax: (208) 939-5888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M6967 Idaho

Profile Details

NPI number 1376504498
LBN Legal business name Price-Miller, Marcia D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Feb 11th, 2020 - about 4 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 1376504498 NPPES
Idaho Other 000010140318 BLUE SHIELD
Idaho Other 51276 BLUE SHIELD
Idaho MEDICAID 003874400 BLUE SHIELD

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