Miller, Raymond M

Miller, Raymond M is an individual health care provider with primary practice located at 4700 Harrison Blvd , Ogden UT 84403-4303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Miller, Raymond M can be contacted via phone (801) 475-3160.

Contact Information

Primary practice address
4700 Harrison Blvd Ogden UT 84403-4303
Phone: (801) 475-3160
Fax: (801) 475-3161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7685189-4405 Utah

Profile Details

NPI number 1518401397
LBN Legal business name Miller, Raymond M
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2016
Last updated Jan 18th, 2018 - about 8 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 1518401397 NPPES
Utah MEDICAID 1518401397

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