Miller, Matthew N

Miller, Matthew N is an individual health care provider with primary practice located at 2005 W Main St , Battle Ground WA 98604-4311. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Miller, Matthew N can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
2005 W Main St Battle Ground WA 98604-4311
Phone: (360) 882-2778
Fax: (360) 604-1762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1263 Nebraska
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT60129938 Washington

Profile Details

NPI number 1700812377
LBN Legal business name Miller, Matthew N
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Sep 28th, 2010 - about 16 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 1700812377 NPPES
Washington Other 258661 L & I
Washington MEDICAID 1700812377 L & I

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