Miller, Robert Bruce

Miller, Robert Bruce is an sole proprietor health care provider with primary practice located at 4535 Mattos Drive , Fremont CA 94536-6719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Miller, Robert Bruce can be contacted via phone (510) 795-7746.

Contact Information

Primary practice address
4535 Mattos Drive Fremont CA 94536-6719
Phone: (510) 795-7746
Fax: (510) 795-7710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A76380 California

Profile Details

NPI number 1841293271
LBN Legal business name Miller, Robert Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Apr 20th, 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 1841293271 NPPES
California MEDICAID 00A76380

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