Miller, Bayard Dodge
Miller, Bayard Dodge is an individual health care provider with primary practice located at 1401 Centerville Rd Suite 504, Tallahassee FL 32308-4647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Miller, Bayard Dodge can be contacted via phone (850) 431-5037.Contact Information
Primary practice address
1401 Centerville Rd Suite 504
Tallahassee FL 32308-4647
Phone: (850) 431-5037
Fax: (850) 431-6101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME24871 | Florida |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2013-01015 | North Carolina |
Profile Details
| NPI number | 1154331304 |
|---|---|
| LBN Legal business name | Miller, Bayard Dodge |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Mar 10th, 2016 - about 8 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 | 1154331304 | NPPES |
| Florida | MEDICAID | 059244700 | |
| Florida | Other | 17377 |
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