Miller, Glenn A

Miller, Glenn A is an individual health care provider with primary practice located at 1160 Manheim Pike Suite 200, Lancaster PA 17601-3120. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Miller, Glenn A can be contacted via phone (717) 735-1972.

Contact Information

Primary practice address
1160 Manheim Pike Suite 200 Lancaster PA 17601-3120
Phone: (717) 735-1972
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA052856 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA052856 Pennsylvania

Profile Details

NPI number 1134260185
LBN Legal business name Miller, Glenn A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Oct 12th, 2023 - about 3 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 1134260185 NPPES
Pennsylvania MEDICAID 1032839690002

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