Miller, Derryl Joseph
Miller, Derryl Joseph is an sole proprietor health care provider with primary practice located at 705 Riley Hospital Dr Rm 5867 , Indianapolis IN 46202-5109. He 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 / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Miller, Derryl Joseph can be contacted via phone (317) 944-4034.Contact Information
Primary practice address
705 Riley Hospital Dr Rm 5867
Indianapolis IN 46202-5109
Phone: (317) 944-4034
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11018132A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 01084560A | Indiana |
Profile Details
| NPI number | 1760860266 |
|---|---|
| LBN Legal business name | Miller, Derryl Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2015 |
| Last updated | Mar 18th, 2022 - about 2 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 | 1760860266 | NPPES |
| Indiana | Other | 0002097705 | INDIANA UNIVERSITY SCHOOL OF MEDICINE EMPLOYEE ID |
| Indiana | Other | 11018132A | INDIANA UNIVERSITY SCHOOL OF MEDICINE EMPLOYEE ID |
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