Miller, Carol

Miller, Carol is an individual health care provider with primary practice located at 4100 W 3Rd St , Dayton OH 45428-9000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Miller, Carol can be contacted via phone (937) 268-6511.

Contact Information

Primary practice address
4100 W 3Rd St Dayton OH 45428-9000
Phone: (937) 268-6511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21155784 Ohio

Profile Details

NPI number 1881690774
LBN Legal business name Miller, Carol
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Apr 3rd, 2008 - about 18 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 1881690774 NPPES
Ohio MEDICAID 2212573

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