Miller, Mark Edmund

Miller, Mark Edmund is an sole proprietor health care provider with primary practice located at 800 Fairmount Ave 205, Pasadena CA 91105-3150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Miller, Mark Edmund can be contacted via phone (626) 405-1513.

Contact Information

Primary practice address
800 Fairmount Ave 205 Pasadena CA 91105-3150
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A76869 California

Profile Details

NPI number 1881647139
LBN Legal business name Miller, Mark Edmund
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Jun 5th, 2013 - about 13 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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