Miller, David C

Miller, David C is an individual health care provider with primary practice located at 3738 Landmark Dr Ste A , Lafayette IN 47905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Miller, David C can be contacted via phone (765) 807-2780.

Contact Information

Primary practice address
3738 Landmark Dr Ste A Lafayette IN 47905
Phone: (765) 807-2780
Fax: (765) 807-2781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 01035762 Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01035762A Indiana

Profile Details

NPI number 1770656332
LBN Legal business name Miller, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Nov 7th, 2018 - about 8 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 1770656332 NPPES
Indiana Other 000000779298 ANTHEM BCBS
Indiana MEDICAID 100352730 ANTHEM BCBS
Indiana MEDICAID 200149800A ANTHEM BCBS

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