Miller, Donald A.
Miller, Donald A. is an sole proprietor health care provider with primary practice located at 200-17 Linden Blvd. , St. Albans NY 11412. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Miller, Donald A. can be contacted via phone (718) 712-0605.Contact Information
Primary practice address
200-17 Linden Blvd.
St. Albans NY 11412
Phone: (718) 712-0605
Fax: (718) 527-6374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 036342-1 | New York |
Profile Details
| NPI number | 1801012265 |
|---|---|
| LBN Legal business name | Miller, Donald A. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1801012265 | NPPES |
| New York | MEDICAID | 01197048 |
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