Miller, Andrew Wade

Miller, Andrew Wade is an individual health care provider with primary practice located at 515 Union Ave Suite 147, Dover OH 44622-3004. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Miller, Andrew Wade can be contacted via phone (330) 339-6233.

Contact Information

Primary practice address
515 Union Ave Suite 147 Dover OH 44622-3004
Phone: (330) 339-6233
Fax: (330) 343-8460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 3392 Ohio

Profile Details

NPI number 1093701476
LBN Legal business name Miller, Andrew Wade
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated May 12th, 2015 - about 11 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 1093701476 NPPES
Ohio MEDICAID 2642537
Ohio Other P00662344
Ohio Other 9378401

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