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
Phone: (888) 290-6321
Fax: (727) 669-8417
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104191063 | NPPES |
Georgia | MEDICAID | 003149383A | |
Georgia | MEDICAID | 012326400 | |
Georgia | Other | 241402NSG | |
Georgia | MEDICAID | 1027113900001 |
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