Miller, Mignon Marie

Miller, Mignon Marie is an individual health care provider with primary practice located at 2705 Enloe St , Hudson WI 54016-8173. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Miller, Mignon Marie can be contacted via phone (715) 386-2128.

Contact Information

Primary practice address
2705 Enloe St Hudson WI 54016-8173
Phone: (715) 386-2128
Fax: (715) 386-6119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2499 Wisconsin

Profile Details

NPI number 1962593988
LBN Legal business name Miller, Mignon Marie
Credentials CCC-SLP/A
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962593988 NPPES
Minnesota Other 98G78MI MN BCBS
Minnesota MEDICAID 42563700 MN BCBS
Minnesota Other 641671046996 MN BCBS
Minnesota Other 7189025 MN BCBS
Minnesota Other 15665 MN BCBS
Minnesota Other 4600765 MN BCBS

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