Miller, Harold W

Miller, Harold W is an individual health care provider with primary practice located at 210 W 53Rd St , Davenport IA 52806-2251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Harold W can be contacted via phone (563) 386-3240.

Contact Information

Primary practice address
210 W 53Rd St Davenport IA 52806-2251
Phone: (563) 386-3240
Fax: (563) 386-3211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19332 Iowa

Profile Details

NPI number 1417953563
LBN Legal business name Miller, Harold W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 9th, 2007 - about 19 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 1417953563 NPPES
Other 40199 WELLMARK BC/BS
Other 034791 WELLMARK BC/BS
Other 19971 WELLMARK BC/BS
MEDICAID 4143651 WELLMARK BC/BS
Other 4796890009 WELLMARK BC/BS
Other IA0146 WELLMARK BC/BS

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