Miller, Darrell M.
Miller, Darrell M. is an individual health care provider with primary practice located at 406 Se 131St Ave Suite 101, Vancouver WA 98683-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Miller, Darrell M. can be contacted via phone (360) 253-2822.Contact Information
Primary practice address
406 Se 131St Ave Suite 101
Vancouver WA 98683-4004
Phone: (360) 253-2822
Fax: (360) 253-8642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 15075 | Washington |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 15075 | Washington |
Profile Details
| NPI number | 1396739967 |
|---|---|
| LBN Legal business name | Miller, Darrell M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Aug 6th, 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 | 1396739967 | NPPES |
| Washington | MEDICAID | 8106502 |
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