Miller, Clara May
Miller, Clara May is an sole proprietor health care provider with primary practice located at 1025 Bonnie Brae Pl , River Forest IL 60305-1513. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Miller, Clara May can be contacted via phone (708) 366-8119.Contact Information
Primary practice address
1025 Bonnie Brae Pl
River Forest IL 60305-1513
Phone: (708) 366-8119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | 041118829 | Illinois |
Profile Details
| NPI number | 1013148295 |
|---|---|
| LBN Legal business name | Miller, Clara May |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2009 |
| Last updated | Aug 5th, 2009 - about 16 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 | 1013148295 | NPPES |
| Illinois | Other | XOF842981375 | BLUE CROSS BLUE SHIELD |
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