Miller, Amy
Miller, Amy is an individual health care provider with primary practice located at 2046 Jonathan Creek Rd , Arthur IL 61911-6108. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Prevention Professional. Other Service Providers / Prevention Professional is her primary health care specialty. Miller, Amy can be contacted via phone (217) 962-0614.Contact Information
Primary practice address
2046 Jonathan Creek Rd
Arthur IL 61911-6108
Phone: (217) 962-0614
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | LMT 8092 | Montana |
| Other Service Providers / Prevention Professional | 405300000X | 778931277 | Illinois |
Profile Details
| NPI number | 1306215157 |
|---|---|
| LBN Legal business name | Miller, Amy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2015 |
| Last updated | Mar 30th, 2019 - about 7 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 | 1306215157 | NPPES |
| Montana | MEDICAID | 0164169 |
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