Healthcare Provider Details

I. General information

NPI: 1578686820
Provider Name (Legal Business Name): MR. BRITT DONALD MILLER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 MAPLE ST STE A
BIG RAPIDS MI
49307-1878
US

IV. Provider business mailing address

3642 S LOCUST AVE
NEWAYGO MI
49337-8761
US

V. Phone/Fax

Practice location:
  • Phone: 231-519-0126
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801079809
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801079809
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: