Miller, Mark Page

Miller, Mark Page is an individual health care provider with primary practice located at 7655 Poplar Ave Suite 230, Germantown TN 38138-3957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Miller, Mark Page can be contacted via phone (901) 753-6163.

Contact Information

Primary practice address
7655 Poplar Ave Suite 230 Germantown TN 38138-3957
Phone: (901) 753-6163
Fax: (901) 753-6159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15293 Tennessee

Profile Details

NPI number 1265490718
LBN Legal business name Miller, Mark Page
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 10th, 2014 - about 12 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 1265490718 NPPES
Tennessee Other 4346314 BCBS
Tennessee Other P01240990 BCBS

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