Sarah K. Miller, Pllc | |
305 S 5th St 5th Floor Enid OK 73701 | |
(580) 249-9366 | |
Not Available |
Full Name | Sarah K. Miller, Pllc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 305 S 5th St, Enid, Oklahoma |
Authorized Official Name and Position | Sarah Coats (OWNER) |
Authorized Official Contact | 5804785543 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sarah K. Miller, Pllc Po Box 3771 Enid OK 73702-3771 Ph: (580) 249-9366 | Sarah K. Miller, Pllc 305 S 5th St 5th Floor Enid OK 73701 Ph: (580) 249-9366 |
NPI Number | 1316357742 |
---|---|
Provider Enumeration Date | 05/07/2014 |
Last Update Date | 05/07/2014 |
Medicare PECOS PAC ID | 6507083284 |
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Medicare Enrollment ID | O20140805000667 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316357742 | NPI | - | NPPES |
236719702 | Other | OK | MEDICARE PTAN |
200421850 A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 1024 (Oklahoma) | Primary |
Provider Name | Sarah M Coats |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851308001 PECOS PAC ID: 2668474636 Enrollment ID: I20070203000048 |
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