Miller, Mark Herman

Miller, Mark Herman is an individual health care provider with primary practice located at 12011 Lee Jackson Hwy Suite 100, Fairfax VA 22033. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Miller, Mark Herman can be contacted via phone (703) 352-0706.

Contact Information

Primary practice address
12011 Lee Jackson Hwy Suite 100 Fairfax VA 22033
Phone: (703) 352-0706
Fax: (703) 352-6954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104001118 Virginia

Profile Details

NPI number 1811192313
LBN Legal business name Miller, Mark Herman
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jul 8th, 2007 - about 19 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 1811192313 NPPES
Maryland Other 44280001 BCBS
Maryland Other 44280001 BCBS

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