| Rietta Miller, Llc | |
|
1818 W Lindsey St Suite C-210 Norman OK 73069-4162 | |
| (405) 831-6388 | |
| (405) 858-0600 |
| Full Name | Rietta Miller, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1818 W Lindsey St, Norman, Oklahoma |
| Authorized Official Name and Position | Rietta L Miller (PRESIDENT) |
| Authorized Official Contact | 4058316388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rietta Miller, Llc Po Box 720143 Norman OK 73070-4110 Ph: (405) 831-6388 | Rietta Miller, Llc 1818 W Lindsey St Suite C-210 Norman OK 73069-4162 Ph: (405) 831-6388 |
| NPI Number | 1801174487 |
|---|---|
| Provider Enumeration Date | 07/29/2011 |
| Last Update Date | 10/07/2015 |
| Medicare PECOS PAC ID | 4284806597 |
|---|---|
| Medicare Enrollment ID | O20111011000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801174487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2183 (Oklahoma) | Primary |
| Provider Name | Rietta L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720016769 PECOS PAC ID: 0143320739 Enrollment ID: I20070711000876 |
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