Miller, Cory R

Miller, Cory R is an individual health care provider with primary practice located at 1213 15Th Ave W , Williston ND 58801-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miller, Cory R can be contacted via phone (701) 572-7651.

Contact Information

Primary practice address
1213 15Th Ave W Williston ND 58801-3800
Phone: (701) 572-7651
Fax: (701) 774-7482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5405 North Dakota

Profile Details

NPI number 1598783631
LBN Legal business name Miller, Cory R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Oct 24th, 2012 - about 13 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 1598783631 NPPES
North Dakota MEDICAID 15855
North Dakota Other 14060

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