Wise, D. Miller
Wise, D. Miller is an individual health care provider with primary practice located at 1425 S Main St , Walnut Creek CA 94596-5318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Wise, D. Miller can be contacted via phone (925) 295-4000.Contact Information
Primary practice address
1425 S Main St
Walnut Creek CA 94596-5318
Phone: (925) 295-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | C35170 | California |
Profile Details
| NPI number | 1629120431 |
|---|---|
| LBN Legal business name | Wise, D. Miller |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629120431 | NPPES |
| California | MEDICAID | 00C351700 |
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