Miller, Glenn D.

Miller, Glenn D. is an individual health care provider with primary practice located at 490 E North Ave , Pittsburgh PA 15212-4740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Miller, Glenn D. can be contacted via phone (412) 359-5822.

Contact Information

Primary practice address
490 E North Ave Pittsburgh PA 15212-4740
Fax: (412) 359-6620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD044831L Pennsylvania

Profile Details

NPI number 1730189630
LBN Legal business name Miller, Glenn D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jan 10th, 2011 - about 15 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 1730189630 NPPES
Pennsylvania MEDICAID 0012574570009
Pennsylvania MEDICAID 2022831
Pennsylvania MEDICAID 3005035000

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