Miller, Craig B
Miller, Craig B is an individual health care provider with primary practice located at 2349 Lake Ave Ste 100 , Plymouth IN 46563-7836. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Craig B can be contacted via phone (574) 948-5100.Contact Information
Primary practice address
2349 Lake Ave Ste 100
Plymouth IN 46563-7836
Phone: (574) 948-5100
Fax: (574) 948-5499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01050910 | Indiana |
Profile Details
| NPI number | 1376571265 |
|---|---|
| LBN Legal business name | Miller, Craig B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Feb 19th, 2024 - about 2 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 | 1376571265 | NPPES |
| Indiana | MEDICAID | 200272700A | |
| Indiana | Other | 1102406683 |
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