Miller, Clint D.
Miller, Clint D. is an individual health care provider with primary practice located at 11761 Beach Blvd Suite 8, Jacksonville FL 32246-6615. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Miller, Clint D. can be contacted via phone (904) 642-3304.Contact Information
Primary practice address
11761 Beach Blvd Suite 8
Jacksonville FL 32246-6615
Phone: (904) 642-3304
Fax: (904) 928-3561
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Sports Physician | 111NS0005X | CH6086 | Florida |
Profile Details
NPI number | 1467403824 |
---|---|
LBN Legal business name | Miller, Clint D. |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2006 |
Last updated | Mar 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467403824 | NPPES |
Florida | MEDICAID | 051010600 |
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