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:
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Health care specialties

SpecialtyCodeLicense #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 16 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 1265456602 NPPES
Texas MEDICAID 030428901

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