Miller, Dwight Larry
Miller, Dwight Larry is an individual health care provider with primary practice located at 6585 Clark Rd Suite 440, Paradise CA 95969-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Dwight Larry can be contacted via phone (530) 877-4465.Contact Information
Primary practice address
6585 Clark Rd Suite 440
Paradise CA 95969-3500
Phone: (530) 877-4465
Fax: (530) 877-1034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G20671 | California |
Profile Details
| NPI number | 1386645539 |
|---|---|
| LBN Legal business name | Miller, Dwight Larry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jan 28th, 2010 - about 14 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 | 1386645539 | NPPES |
| California | MEDICAID | 00G206710 | |
| California | Other | 942232162 | |
| California | Other | 942232162 |
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