Miller, Sally

Miller, Sally is an individual health care provider with primary practice located at 906 Business Park Dr , Traverse City MI 49686-8683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miller, Sally can be contacted via phone (800) 968-6866.

Contact Information

Primary practice address
906 Business Park Dr Traverse City MI 49686-8683
Phone: (800) 968-6866
Fax: (616) 532-7230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101009568 Michigan

Profile Details

NPI number 1588663041
LBN Legal business name Miller, Sally
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 21st, 2008 - about 18 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 1588663041 NPPES
Michigan MEDICAID 4602759
Michigan Other SM009568

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