Debra R Miller Md Llc

LBN: Debra R Miller Md Llc
Debra R Miller Md Llc is an health care organization with primary practice located at 53 Granite St , New London CT 06320-5945. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Debra R Miller Md Llc can be contacted via phone (860) 447-1419, or through Miller, Debra Rose via phone (860) 447-1419.

Contact Information

Primary practice address
53 Granite St New London CT 06320-5945
Fax: (860) 442-2604
Website:
Authorized official contact:
Name: Miller, Debra Rose Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1619206034
LBN Legal business name Debra R Miller Md Llc
DBA Doing business as
Authorized official Miller, Debra Rose Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2009
Last updated Dec 14th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619206034 NPPES
Connecticut MEDICAID 001361691

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