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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770656332 | NPPES |
| Indiana | Other | 000000779298 | ANTHEM BCBS |
| Indiana | MEDICAID | 100352730 | ANTHEM BCBS |
| Indiana | MEDICAID | 200149800A | ANTHEM BCBS |
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