Miller, Dwight Larry

Miller, Dwight Larry is an individual health care provider with primary practice located at 6585 Clark Rd Suite 440, Paradise CA 95969-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Dwight Larry can be contacted via phone (530) 877-4465.

Contact Information

Primary practice address
6585 Clark Rd Suite 440 Paradise CA 95969-3500
Phone: (530) 877-4465
Fax: (530) 877-1034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G20671 California

Profile Details

NPI number 1386645539
LBN Legal business name Miller, Dwight Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 28th, 2010 - about 16 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 1386645539 NPPES
California MEDICAID 00G206710
California Other 942232162
California Other 942232162

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