Miller, Samuel R

Miller, Samuel R is an individual health care provider with primary practice located at 50 Berkshire Ct , Wyomissing PA 19610-1219. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Miller, Samuel R can be contacted via phone (610) 373-4154.

Contact Information

Primary practice address
50 Berkshire Ct Wyomissing PA 19610-1219
Phone: (610) 373-4154
Fax: (610) 393-8651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC001478L Pennsylvania

Profile Details

NPI number 1417946229
LBN Legal business name Miller, Samuel R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Feb 2nd, 2010 - about 16 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 1417946229 NPPES
Pennsylvania MEDICAID 000505185001
Pennsylvania Other SC001478L
Pennsylvania Other 045379001

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