Miller, Ebony
Miller, Ebony is an individual health care provider with primary practice located at 9041 Magnolia Ave Ste 206 , Riverside CA 92503-3956. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Miller, Ebony can be contacted via phone (951) 354-2220.Contact Information
Primary practice address
9041 Magnolia Ave Ste 206
Riverside CA 92503-3956
Phone: (951) 354-2220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 56608 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10002711A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10002711A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA15641 | Texas |
Profile Details
| NPI number | 1093371759 |
|---|---|
| LBN Legal business name | Miller, Ebony |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2019 |
| Last updated | Dec 27th, 2023 - about 3 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 | 1093371759 | NPPES |
| California | Other | 56608 | CALIFORNIA LICENSE |
| California | Other | 10002711A | CALIFORNIA LICENSE |
| California | Other | PA15641 | CALIFORNIA LICENSE |
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