Miller, Carissa

Miller, Carissa is an individual health care provider with primary practice located at 911 Stowell St , Elmira NY 14901-1428. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Miller, Carissa can be contacted via phone (607) 737-5215.

Contact Information

Primary practice address
911 Stowell St Elmira NY 14901-1428
Phone: (607) 737-5215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 798087-01 New York

Profile Details

NPI number 1043924665
LBN Legal business name Miller, Carissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2023
Last updated Jan 9th, 2023 - about last year

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 1043924665 NPPES
New York Other 16-1039939 ALL OTHER INSURNACES
New York MEDICAID 16-1069939 ALL OTHER INSURNACES

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