Miller Rose, Kathryn Elaine
Miller Rose, Kathryn Elaine is an sole proprietor health care provider with primary practice located at 1207 Lakeside Ln , Mahomet IL 61853-9767. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Miller Rose, Kathryn Elaine can be contacted via phone (217) 840-5455.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | Illinois |
Profile Details
| NPI number | 1316478878 |
|---|---|
| LBN Legal business name | Miller Rose, Kathryn Elaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2017 |
| Last updated | Mar 25th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316478878 | NPPES |
| Illinois | Other | 070.005074 | STATE PT LICENCE |
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