Miller, Laverne L

Miller, Laverne L is an sole proprietor health care provider with primary practice located at 210 Kingston Rd , Greenwood SC 29649-9570. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is his primary health care specialty. Miller, Laverne L can be contacted via phone (260) 760-0956.

Contact Information

Primary practice address
210 Kingston Rd Greenwood SC 29649-9570
Phone: (260) 760-0956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 01035849 Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 35045593 Ohio
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X MD88243 South Carolina

Profile Details

NPI number 1477549962
LBN Legal business name Miller, Laverne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Jul 8th, 2022 - about 4 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 1477549962 NPPES
Ohio MEDICAID 0454235

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