Miller, A Larry
Miller, A Larry is an individual health care provider with primary practice located at 311 Maple Ave W Ste H, Vienna VA 22180-4309. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Miller, A Larry can be contacted via phone (703) 938-5660.Contact Information
Primary practice address
311 Maple Ave W Ste H
Vienna VA 22180-4309
Phone: (703) 938-5660
Fax: (703) 242-8712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101026494 | Virginia |
Profile Details
| NPI number | 1215933973 |
|---|---|
| LBN Legal business name | Miller, A Larry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1215933973 | NPPES |
| Virginia | Other | 0101026494 | MEDICAL LICENCE |
| Virginia | Other | 207KA0200X | MEDICAL LICENCE |
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