Miller, Leonard Ezekiel
Miller, Leonard Ezekiel is an sole proprietor health care provider with primary practice located at 257 E Main St , North Vernon IN 47265-1510. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Miller, Leonard Ezekiel can be contacted via phone (812) 346-2872.Contact Information
Primary practice address
257 E Main St
North Vernon IN 47265-1510
Phone: (812) 346-2872
Fax: (812) 346-4172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 20040350A | Indiana |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | KY-0594 | Kentucky |
Profile Details
| NPI number | 1184817900 |
|---|---|
| LBN Legal business name | Miller, Leonard Ezekiel |
| Credentials | PSY.D., HSPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2007 |
| Last updated | Jul 29th, 2008 - about 18 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 | 1184817900 | NPPES |
| Indiana | MEDICAID | 200147420A |
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