Miles, George Bruce

Miles, George Bruce is an individual health care provider with primary practice located at 3101 Emrick Blvd Suite 112, Bethlehem PA 18020-8037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miles, George Bruce can be contacted via phone (610) 419-6426.

Contact Information

Primary practice address
3101 Emrick Blvd Suite 112 Bethlehem PA 18020-8037
Fax: (610) 419-6427
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS002988L Pennsylvania

Profile Details

NPI number 1396737458
LBN Legal business name Miles, George Bruce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 10th, 2022 - about 2 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 1396737458 NPPES
Pennsylvania Other 124222 HIGHMARK PIN
Pennsylvania MEDICAID 0007792600004 HIGHMARK PIN

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