Miller, Clay David
Miller, Clay David is an individual health care provider with primary practice located at 1 Orthopedic Dr , Peabody MA 01960-1668. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Miller, Clay David can be contacted via phone (978) 818-6350.Contact Information
Primary practice address
1 Orthopedic Dr
Peabody MA 01960-1668
Phone: (978) 818-6350
Fax: (978) 818-6355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 81263 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 81263 | Massachusetts |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 81263 | Massachusetts |
Profile Details
| NPI number | 1942288410 |
|---|---|
| LBN Legal business name | Miller, Clay David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Nov 20th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942288410 | NPPES |
| Massachusetts | Other | 081263 | TUFTS |
| Massachusetts | Other | J31341 | TUFTS |
| Massachusetts | MEDICAID | 3140440 | TUFTS |
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