Miller, Ellen Carol
Miller, Ellen Carol is an individual health care provider with primary practice located at 576 Boyson Rd Ne Suite 104, Cedar Rapids IA 52402-7363. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Miller, Ellen Carol can be contacted via phone (319) 373-3737.Contact Information
Primary practice address
576 Boyson Rd Ne Suite 104
Cedar Rapids IA 52402-7363
Phone: (319) 373-3737
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02055 | Iowa |
Profile Details
| NPI number | 1710038245 |
|---|---|
| LBN Legal business name | Miller, Ellen Carol |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710038245 | NPPES |
| Iowa | MEDICAID | 3127506 |
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