Miller, Douglas K
Miller, Douglas K is an individual health care provider with primary practice located at 1633 N Capitol Ave Ste 322, Indianapolis IN 46202-1476. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Miller, Douglas K can be contacted via phone (317) 962-2929.Contact Information
Primary practice address
1633 N Capitol Ave Ste 322
Indianapolis IN 46202-1476
Phone: (317) 962-2929
Fax: (317) 962-2070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 01058644A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01058644A | Indiana |
Profile Details
| NPI number | 1912955006 |
|---|---|
| LBN Legal business name | Miller, Douglas K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Sep 19th, 2013 - about 11 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 | 1912955006 | NPPES |
| Indiana | MEDICAID | 200410500 |
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