Miller, Clay David

Miller, Clay David is an individual health care provider with primary practice located at 1 Orthopedic Dr , Peabody MA 01960-1668. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Miller, Clay David can be contacted via phone (978) 818-6350.

Contact Information

Primary practice address
1 Orthopedic Dr Peabody MA 01960-1668
Phone: (978) 818-6350
Fax: (978) 818-6355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 81263 Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 81263 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 81263 Massachusetts

Profile Details

NPI number 1942288410
LBN Legal business name Miller, Clay David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Nov 20th, 2009 - about 16 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 1942288410 NPPES
Massachusetts Other 081263 TUFTS
Massachusetts Other J31341 TUFTS
Massachusetts MEDICAID 3140440 TUFTS

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