Miller, Derek Steven

Miller, Derek Steven is an individual health care provider with primary practice located at 300 S Jackson St Suite 100, Denver CO 80209-3176. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Miller, Derek Steven can be contacted via phone (303) 321-0222.

Contact Information

Primary practice address
300 S Jackson St Suite 100 Denver CO 80209-3176
Fax: (303) 321-6683
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0004448 Colorado

Profile Details

NPI number 1124491212
LBN Legal business name Miller, Derek Steven
Credentials MMS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2015
Last updated Nov 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124491212 NPPES
Colorado Other 0004448 PHYSICIAN ASSISTANT COLORADO LICENSE

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