Miller, Mark A
Miller, Mark A is an individual health care provider with primary practice located at 514 Beltrami Ave Nw , Bemidji MN 56601-3010. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Miller, Mark A can be contacted via phone (218) 444-2845.Contact Information
Primary practice address
514 Beltrami Ave Nw
Bemidji MN 56601-3010
Phone: (218) 444-2845
Fax: (218) 444-2847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 908 | Minnesota |
Profile Details
| NPI number | 1932321189 |
|---|---|
| LBN Legal business name | Miller, Mark A |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1932321189 | NPPES |
| Minnesota | Other | 163M8MI | BLUECROSSBLUESHIELD MN |
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