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
Fax: (717) 782-5716
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801057518 NPPES
Pennsylvania MEDICAID 102921010

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