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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1437356706 | NPPES |
| New York | Other | NYS LICENSE | 000164 |
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