Miner, Michelle M

Miner, Michelle M is an individual health care provider with primary practice located at 301 N 8Th St Pav 4A, Springfield IL 62701-1041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miner, Michelle M can be contacted via phone (217) 545-4238.

Contact Information

Primary practice address
301 N 8Th St Pav 4A Springfield IL 62701-1041
Phone: (217) 545-4238
Fax: (217) 545-2303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-106594 Illinois

Profile Details

NPI number 1285617456
LBN Legal business name Miner, Michelle M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Dec 8th, 2020 - about 6 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 1285617456 NPPES
Illinois MEDICAID 036106594

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