Miller, Michael A
Miller, Michael A is an sole proprietor health care provider with primary practice located at 800 Scenic Dr , Modesto CA 95350-6131. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Miller, Michael A can be contacted via phone (209) 525-6150.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C10261214 | California |
| Other Service Providers / Peer Specialist | 175T00000X | MPSS-DPKVHU |
Profile Details
| NPI number | 1295150837 |
|---|---|
| LBN Legal business name | Miller, Michael A |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2014 |
| Last updated | May 2nd, 2024 - about 2 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 | 1295150837 | NPPES |
| California | MEDICAID | 17500000X |
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