Miller, Abigail Rose

Miller, Abigail Rose is an individual health care provider with primary practice located at 111 N 81St St , Belleville IL 62223-2445. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Miller, Abigail Rose can be contacted via phone (804) 543-5105.

Contact Information

Primary practice address
111 N 81St St Belleville IL 62223-2445
Phone: (804) 543-5105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2023033314 Missouri
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 2020030713 Missouri

Profile Details

NPI number 1861103137
LBN Legal business name Miller, Abigail Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2022
Last updated Aug 18th, 2023 - about 3 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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