Miller, Gordon Allan

Miller, Gordon Allan is an individual health care provider with primary practice located at 2000 Hampton Ctr #B, Morgantown WV 26505-1704. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Miller, Gordon Allan can be contacted via phone (304) 599-9000.

Contact Information

Primary practice address
2000 Hampton Ctr #B Morgantown WV 26505-1704
Phone: (304) 599-9000
Fax: (304) 599-4091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0244 West Virginia

Profile Details

NPI number 1992880751
LBN Legal business name Miller, Gordon Allan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jan 20th, 2017 - about 7 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 1992880751 NPPES
West Virginia Other 001720161 BC/BS
West Virginia MEDICAID 0099645000 BC/BS

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