Miller, Calvin L

Miller, Calvin L is an individual health care provider with primary practice located at 110 Med Tech Pkwy , Johnson City TN 37604-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Miller, Calvin L can be contacted via phone (423) 722-0360.

Contact Information

Primary practice address
110 Med Tech Pkwy Johnson City TN 37604-4004
Phone: (423) 722-0360
Fax: (423) 793-1339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD0000016717 Tennessee

Profile Details

NPI number 1396777462
LBN Legal business name Miller, Calvin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 14th, 2010 - about 15 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 1396777462 NPPES
Virginia MEDICAID 1396777462
Virginia MEDICAID 3332479

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