Miller, Stephen J

Miller, Stephen J is an individual health care provider with primary practice located at 2855 E Magic View Dr , Meridian ID 83642-6245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Miller, Stephen J can be contacted via phone (208) 639-4900.

Contact Information

Primary practice address
2855 E Magic View Dr Meridian ID 83642-6245
Phone: (208) 639-4900
Fax: (208) 639-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X M-9365 Idaho

Profile Details

NPI number 1164474664
LBN Legal business name Miller, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 4th, 2009 - about 17 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 1164474664 NPPES
Idaho Other 000010151601 BLUE SHILED MERIDIAN
Idaho MEDICAID 807223100 BLUE SHILED MERIDIAN
Idaho Other P00273320 BLUE SHILED MERIDIAN
Idaho Other 000010151600 BLUE SHILED MERIDIAN
Idaho Other 75614 BLUE SHILED MERIDIAN
Idaho Other B5601 BLUE SHILED MERIDIAN

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