Miller, Russell A

Miller, Russell A is an individual health care provider with primary practice located at 1900C Garfield Ave , Parkersburg WV 26101-2525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Miller, Russell A can be contacted via phone (304) 422-6682.

Contact Information

Primary practice address
1900C Garfield Ave Parkersburg WV 26101-2525
Phone: (304) 422-6682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11177 West Virginia

Profile Details

NPI number 1649236803
LBN Legal business name Miller, Russell A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 9th, 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 1649236803 NPPES
Ohio MEDICAID 03386676
Ohio MEDICAID 0110781000

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