Miller, Edward B

Miller, Edward B is an sole proprietor health care provider with primary practice located at 914 Pine St , Mount Shasta CA 96067-2143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Miller, Edward B can be contacted via phone (530) 926-5990.

Contact Information

Primary practice address
914 Pine St Mount Shasta CA 96067-2143
Phone: (530) 926-5990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD10363 Oregon
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G27556 California

Profile Details

NPI number 1700848264
LBN Legal business name Miller, Edward B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Oct 21st, 2011 - about 13 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 1700848264 NPPES
California Other 00G275560 BLUE SHIELD
California MEDICAID 00G275560 BLUE SHIELD
California Other 00G275560 BLUE SHIELD
California MEDICAID 006313 BLUE SHIELD

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