Miller, Rosa Lee

Miller, Rosa Lee is an individual health care provider with primary practice located at 4436 Nw 50Th St , Oklahoma City OK 73112-2212. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Miller, Rosa Lee can be contacted via phone (405) 922-0124.

Contact Information

Primary practice address
4436 Nw 50Th St Oklahoma City OK 73112-2212
Phone: (405) 922-0124
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1407051972
LBN Legal business name Miller, Rosa Lee
Credentials BBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jun 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407051972 NPPES
Oklahoma MEDICAID NA

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