Miller, Craig L.

Miller, Craig L. is an individual health care provider with primary practice located at 1449 E Bert Kouns Loop Suite 100, Shreveport LA 71105-5663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miller, Craig L. can be contacted via phone (318) 629-0220.

Contact Information

Primary practice address
1449 E Bert Kouns Loop Suite 100 Shreveport LA 71105-5663
Phone: (318) 629-0220
Fax: (318) 629-0230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 021989 Louisiana

Profile Details

NPI number 1174590848
LBN Legal business name Miller, Craig L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Dec 20th, 2011 - 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 1174590848 NPPES
Louisiana MEDICAID 1975281

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