Miller, Ronald Boa

Miller, Ronald Boa is an sole proprietor health care provider with primary practice located at 4402 E Aloha Dr , Diamondhead MS 39525-3349. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Miller, Ronald Boa can be contacted via phone (228) 364-9001.

Contact Information

Primary practice address
4402 E Aloha Dr Diamondhead MS 39525-3349
Phone: (228) 364-9001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R880596 Mississippi

Profile Details

NPI number 1245571124
LBN Legal business name Miller, Ronald Boa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2013
Last updated Nov 21st, 2022 - about 4 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 1245571124 NPPES
Mississippi MEDICAID 05579539

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