Miller, Brenda Gail

Miller, Brenda Gail is an sole proprietor health care provider with primary practice located at 3407 Shamrock Ct , Gautier MS 39553-5337. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Miller, Brenda Gail can be contacted via phone (228) 497-0690.

Contact Information

Primary practice address
3407 Shamrock Ct Gautier MS 39553-5337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1043832140
LBN Legal business name Miller, Brenda Gail
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2020
Last updated May 12th, 2020 - about 5 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 1043832140 NPPES
Mississippi MEDICAID 00018214

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