Miller, Calvin

Miller, Calvin is an individual health care provider with primary practice located at 111 Maltese Dr , Middletown NY 10940-2115. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Miller, Calvin can be contacted via phone (845) 342-4774.

Contact Information

Primary practice address
111 Maltese Dr Middletown NY 10940-2115
Phone: (845) 342-4774
Fax: (845) 818-7555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000164 New York

Profile Details

NPI number 1437356706
LBN Legal business name Miller, Calvin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437356706 NPPES
New York Other NYS LICENSE 000164

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