Miller, Alan Edward
Miller, Alan Edward is an individual health care provider with primary practice located at 1865 Lime St Suite 101, Fernandina Beach FL 32034-4744. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Miller, Alan Edward can be contacted via phone (904) 321-2422.Contact Information
Primary practice address
1865 Lime St Suite 101
Fernandina Beach FL 32034-4744
Phone: (904) 321-2422
Fax: (904) 321-2434
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ME102751 | Florida |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME102751 | Florida |
Profile Details
NPI number | 1750400792 |
---|---|
LBN Legal business name | Miller, Alan Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2007 |
Last updated | Sep 15th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750400792 | NPPES |
Florida | MEDICAID | 002623200 | |
Florida | Other | P00847538 | |
Florida | Other | 145A8 |
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