Miller, Charles Dale

Miller, Charles Dale is an individual health care provider with primary practice located at 4440 Glen Este Withamsville Rd Suite 500, Cincinnati OH 45245-1318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Miller, Charles Dale can be contacted via phone (513) 753-7488.

Contact Information

Primary practice address
4440 Glen Este Withamsville Rd Suite 500 Cincinnati OH 45245-1318
Phone: (513) 753-7488
Fax: (513) 753-7879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35056153 Ohio

Profile Details

NPI number 1417956202
LBN Legal business name Miller, Charles Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Dec 20th, 2013 - about 11 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 1417956202 NPPES
Ohio Other 000000187462 ANTHEM
Ohio MEDICAID 0684951 ANTHEM
Ohio Other 200016209 ANTHEM
Ohio Other 1874257002 ANTHEM
Ohio Other 0901483 ANTHEM

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