Miller, Carol

Miller, Carol is an individual health care provider with primary practice located at 401 Main St Ste 1 , Johnson City NY 13790-2065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Miller, Carol can be contacted via phone (607) 754-9870.

Contact Information

Primary practice address
401 Main St Ste 1 Johnson City NY 13790-2065
Fax: (607) 785-9862
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 178206 New York

Profile Details

NPI number 1568423028
LBN Legal business name Miller, Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jan 17th, 2020 - about 4 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 1568423028 NPPES
New York MEDICAID 01153635

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