Miller, David Ethan
Miller, David Ethan is an sole proprietor health care provider with primary practice located at 400 S Mccaslin Blvd Ste 110 , Louisville CO 80027-9701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Miller, David Ethan can be contacted via phone (720) 279-9682.Contact Information
Primary practice address
400 S Mccaslin Blvd Ste 110
Louisville CO 80027-9701
Phone: (720) 279-9682
Fax: (720) 279-9687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0043394 | Colorado |
Profile Details
| NPI number | 1013916972 |
|---|---|
| LBN Legal business name | Miller, David Ethan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jul 28th, 2015 - about 11 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 | 1013916972 | NPPES |
| Colorado | Other | C805046 | MEDICARE PTAN |
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