Miller, Mark

Miller, Mark is an sole proprietor health care provider with primary practice located at 2121 Lake Ave , Fort Wayne IN 46805-5100. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, which is considered as his primary health care specialty. Miller, Mark can be contacted via phone (260) 426-5431.

Contact Information

Primary practice address
2121 Lake Ave Fort Wayne IN 46805-5100
Phone: (260) 426-5431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X 30002505A Indiana

Profile Details

NPI number 1508511551
LBN Legal business name Miller, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2022
Last updated Feb 18th, 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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