Miller, Crystal Leana
Miller, Crystal Leana is an individual health care provider with primary practice located at 111 S Front St , Harrisburg PA 17101-2010. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Miller, Crystal Leana can be contacted via phone (717) 988-0000.Contact Information
Primary practice address
111 S Front St
Harrisburg PA 17101-2010
Phone: (717) 988-0000
Fax: (717) 782-5716
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | OT012560 | Pennsylvania |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS017047 | Pennsylvania |
Profile Details
NPI number | 1801057518 |
---|---|
LBN Legal business name | Miller, Crystal Leana |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2008 |
Last updated | Jan 27th, 2021 - about 3 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 | 1801057518 | NPPES |
Pennsylvania | MEDICAID | 102921010 |
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