Miller, Michael Breen
Miller, Michael Breen is an individual health care provider with primary practice located at 6808 Valley Haven Dr , Charlotte NC 28211-6157. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Miller, Michael Breen can be contacted via phone (704) 280-6121.Contact Information
Primary practice address
6808 Valley Haven Dr
Charlotte NC 28211-6157
Phone: (704) 280-6121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 6065 | North Carolina |
Profile Details
| NPI number | 1467796045 |
|---|---|
| LBN Legal business name | Miller, Michael Breen |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2012 |
| Last updated | Nov 20th, 2012 - about 14 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 | 1467796045 | NPPES |
| North Carolina | Other | 6065 | OT LICENSE |
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