Miller, Diane E

Miller, Diane E is an individual health care provider with primary practice located at 803 Poplar St , Murray KY 42071-2432. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Miller, Diane E can be contacted via phone (270) 762-1100.

Contact Information

Primary practice address
803 Poplar St Murray KY 42071-2432
Phone: (270) 762-1100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-08543 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1015 Kentucky

Profile Details

NPI number 1831253103
LBN Legal business name Miller, Diane E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Aug 2nd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831253103 NPPES
North Carolina Other 0397730029 NSC #
North Carolina MEDICAID 7100048060 NSC #

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