Miller, Tricia R

Miller, Tricia R is an individual health care provider with primary practice located at 437 North 120Th Ave , Holland MI 49424. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Miller, Tricia R can be contacted via phone (616) 738-0737.

Contact Information

Primary practice address
437 North 120Th Ave Holland MI 49424
Phone: (616) 738-0737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301074445 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301074445 Michigan

Profile Details

NPI number 1033226618
LBN Legal business name Miller, Tricia R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 9th, 2007 - about 19 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 1033226618 NPPES
Michigan MEDICAID 4529541

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