Gary Miller Md Llc

LBN: Gary Miller Md Llc
Gary Miller Md Llc is an health care organization with primary practice located at 61 Bradley St , Bristol CT 06010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Gary Miller Md Llc can be contacted via phone (860) 314-6898, or through Miller, Gary via phone (860) 314-6898.

Contact Information

Primary practice address
61 Bradley St Bristol CT 06010
Phone: (860) 314-6898
Fax: (860) 314-6896
Website:
Map and Directions
Authorized official contact:
Name: Miller, Gary Doctor of Medicine (MD)
Phone: (860) 314-6898

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1396713061
LBN Legal business name Gary Miller Md Llc
DBA Doing business as
Authorized official Miller, Gary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 24th, 2009 - about 15 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 1396713061 NPPES
Other 07D0092369 CLIA
MEDICAID 004220985 CLIA

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