Miller, Daniel Raymond
Miller, Daniel Raymond is an sole proprietor health care provider with primary practice located at 321 Skyline Dr , Lewiston ID 83501-4220. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Miller, Daniel Raymond can be contacted via phone (208) 791-6718.Contact Information
Primary practice address
321 Skyline Dr
Lewiston ID 83501-4220
Phone: (208) 791-6718
Fax: (208) 743-0528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M-3254 | Idaho |
Profile Details
| NPI number | 1154468775 |
|---|---|
| LBN Legal business name | Miller, Daniel Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1154468775 | NPPES |
| Iowa | MEDICAID | ,OO2456100 |
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