Miller, Russell J
Miller, Russell J is an individual health care provider with primary practice located at 1468 Trevorton Rd , Coal Township PA 17866-7725. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Miller, Russell J can be contacted via phone (570) 648-9769.Contact Information
Primary practice address
1468 Trevorton Rd
Coal Township PA 17866-7725
Phone: (570) 648-9769
Fax: (717) 692-2381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA 001072 L | Pennsylvania |
Profile Details
| NPI number | 1780646158 |
|---|---|
| LBN Legal business name | Miller, Russell J |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jun 30th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780646158 | NPPES |
| Pennsylvania | Other | MA 001072 L | STATE LICENSE # |
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