Miller, Glenn R
Miller, Glenn R is an sole proprietor health care provider with primary practice located at 7101 S Staples St Ste 103 , Corpus Christi TX 78413-5543. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Miller, Glenn R can be contacted via phone (361) 814-4055.Contact Information
Primary practice address
7101 S Staples St Ste 103
Corpus Christi TX 78413-5543
Phone: (361) 814-4055
Fax: (361) 814-1346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1441 | Texas |
Profile Details
| NPI number | 1265456602 |
|---|---|
| LBN Legal business name | Miller, Glenn R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Nov 1st, 2010 - about 15 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 | 1265456602 | NPPES |
| Texas | MEDICAID | 030428901 |
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