Miller, Clarke Theodore

Miller, Clarke Theodore is an individual health care provider with primary practice located at 4800 Friendship Ave , Pittsburgh PA 15224-1722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Miller, Clarke Theodore can be contacted via phone (412) 578-5442.

Contact Information

Primary practice address
4800 Friendship Ave Pittsburgh PA 15224-1722
Phone: (412) 578-5442
Fax: (412) 578-1144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD015465E Pennsylvania

Profile Details

NPI number 1083609085
LBN Legal business name Miller, Clarke Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jan 23rd, 2013 - about 13 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 1083609085 NPPES
Pennsylvania MEDICAID 0006814220011
Pennsylvania MEDICAID 2747502
Pennsylvania MEDICAID 3810008854

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