Miller, Brian L.

Miller, Brian L. is an sole proprietor health care provider with primary practice located at 825 Chalkstone Ave , Providence RI 02908-4728. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Miller, Brian L. can be contacted via phone (401) 456-2121.

Contact Information

Primary practice address
825 Chalkstone Ave Providence RI 02908-4728
Phone: (401) 456-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN242566 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA36599 Rhode Island

Profile Details

NPI number 1609854454
LBN Legal business name Miller, Brian L.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated Feb 4th, 2026 - about 9 months 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 1609854454 NPPES
Massachusetts MEDICAID 110124896A

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