Miller, Mark Conrad

Miller, Mark Conrad is an individual health care provider with primary practice located at 1150 Scioto St , Urbana OH 43078-2289. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Miller, Mark Conrad can be contacted via phone (937) 652-4555.

Contact Information

Primary practice address
1150 Scioto St Urbana OH 43078-2289
Phone: (937) 652-4555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X I. 0005559 Ohio

Profile Details

NPI number 1457563298
LBN Legal business name Miller, Mark Conrad
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 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.

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