Miller, Mark Daniel

Miller, Mark Daniel is an individual health care provider with primary practice located at 1221 S Broadway , Lexington KY 40504-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Miller, Mark Daniel can be contacted via phone (859) 258-4271.

Contact Information

Primary practice address
1221 S Broadway Lexington KY 40504-2701
Phone: (859) 258-4271
Fax: (859) 258-4418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 28222 West Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X TP657 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 58412 Kentucky

Profile Details

NPI number 1265876106
LBN Legal business name Miller, Mark Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2013
Last updated Sep 25th, 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 1265876106 NPPES
Kentucky MEDICAID 7100440870

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