Miller, Bradley K

Miller, Bradley K is an individual health care provider with primary practice located at 150 Paducah Dr , New Martinsville WV 26155-2710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miller, Bradley K can be contacted via phone (304) 455-8190.

Contact Information

Primary practice address
150 Paducah Dr New Martinsville WV 26155-2710
Phone: (304) 455-8190
Fax: (304) 455-8131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1051 West Virginia

Profile Details

NPI number 1861447039
LBN Legal business name Miller, Bradley K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Apr 18th, 2022 - about 4 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 1861447039 NPPES
West Virginia MEDICAID 0042185000
West Virginia MEDICAID 0751664

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