Miller, Carolyn G.

Miller, Carolyn G. is an individual health care provider with primary practice located at 21601 76Th Ave W , Edmonds WA 98026-7507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Miller, Carolyn G. can be contacted via phone (425) 640-4000.

Contact Information

Primary practice address
21601 76Th Ave W Edmonds WA 98026-7507
Fax: (206) 672-0211
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00037179 Washington

Profile Details

NPI number 1104873645
LBN Legal business name Miller, Carolyn G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 16th, 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 1104873645 NPPES
Washington MEDICAID 8246456

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