Miller, Celina G
Miller, Celina G is an individual health care provider with primary practice located at 4309 W Medical Center Dr Ste B310 , Mchenry IL 60050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miller, Celina G can be contacted via phone (815) 338-6600.Contact Information
Primary practice address
4309 W Medical Center Dr Ste B310
Mchenry IL 60050
Phone: (815) 338-6600
Fax: (815) 759-4692
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036096693 | Illinois |
Profile Details
NPI number | 1558410886 |
---|---|
LBN Legal business name | Miller, Celina G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2007 |
Last updated | Oct 19th, 2018 - about 6 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 | 1558410886 | NPPES |
Illinois | Other | 036096693 | STATE LICENSE |
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