Miller, Christine P

Miller, Christine P is an individual health care provider with primary practice located at 13600 Icot Blvd Bldg B , Clearwater FL 33760-3703. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Miller, Christine P can be contacted via phone (888) 290-6321.

Contact Information

Primary practice address
13600 Icot Blvd Bldg B Clearwater FL 33760-3703
Fax: (727) 669-8417
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO3678 Florida

Profile Details

NPI number 1104191063
LBN Legal business name Miller, Christine P
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2012
Last updated Dec 6th, 2016 - about 8 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 1104191063 NPPES
Georgia MEDICAID 003149383A
Georgia MEDICAID 012326400
Georgia Other 241402NSG
Georgia MEDICAID 1027113900001

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