Miller, Benjamin J

Miller, Benjamin J is an individual health care provider with primary practice located at 2120 S Reserve St # 133 , Missoula MT 59801-6451. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Miller, Benjamin J can be contacted via phone (406) 550-9012.

Contact Information

Primary practice address
2120 S Reserve St # 133 Missoula MT 59801-6451
Phone: (406) 550-9012
Fax: (801) 772-7767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30006070 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN26399 Montana

Profile Details

NPI number 1255356291
LBN Legal business name Miller, Benjamin J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 27th, 2015 - about 11 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 1255356291 NPPES
Washington MEDICAID 9632027

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