Miller, Melissa

Miller, Melissa is an individual health care provider with primary practice located at 516 Nizhoni Blvd , Gallup NM 87301-5748. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Miller, Melissa can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 Nizhoni Blvd Gallup NM 87301-5748
Fax: (505) 722-1310
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 1766 West Virginia

Profile Details

NPI number 1174550842
LBN Legal business name Miller, Melissa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Feb 3rd, 2011 - about 15 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 1174550842 NPPES
West Virginia MEDICAID 5700497000

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