Miller, Lee Clyde
Miller, Lee Clyde is an individual health care provider with primary practice located at 2209 Forest Hills Dr Suite 19, Harrisburg PA 17112-1095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Miller, Lee Clyde can be contacted via phone (717) 540-4420.Contact Information
Primary practice address
2209 Forest Hills Dr Suite 19
Harrisburg PA 17112-1095
Phone: (717) 540-4420
Fax: (717) 540-4427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD011842E | Pennsylvania |
Profile Details
| NPI number | 1174564165 |
|---|---|
| LBN Legal business name | Miller, Lee Clyde |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 4th, 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 | 1174564165 | NPPES |
| Pennsylvania | MEDICAID | 0550206 |
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