Miller, Charles E

Miller, Charles E is an individual health care provider with primary practice located at 605 E 4Th St , Marshfield WI 54449-4519. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Miller, Charles E can be contacted via phone (715) 387-6397.

Contact Information

Primary practice address
605 E 4Th St Marshfield WI 54449-4519
Phone: (715) 387-6397
Fax: (715) 384-6140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2449 Wisconsin

Profile Details

NPI number 1124011978
LBN Legal business name Miller, Charles E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Apr 22nd, 2009 - 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 1124011978 NPPES
Wisconsin Other 3917827250 BLUE CROSS BLUE SHIELD
Wisconsin Other 511029 BLUE CROSS BLUE SHIELD
Wisconsin Other 73400 BLUE CROSS BLUE SHIELD
Wisconsin Other 33994 BLUE CROSS BLUE SHIELD
Wisconsin Other 38705100 BLUE CROSS BLUE SHIELD
Wisconsin MEDICAID 38705100 BLUE CROSS BLUE SHIELD
Wisconsin Other 410026847 BLUE CROSS BLUE SHIELD
Wisconsin Other 87726 BLUE CROSS BLUE SHIELD
Wisconsin Other 27707 BLUE CROSS BLUE SHIELD
Wisconsin Other 5712-001 BLUE CROSS BLUE SHIELD

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