Miller, Isaac David
Miller, Isaac David is an individual health care provider with primary practice located at 908 Wallace Ave , Leitchfield KY 42754-1479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Miller, Isaac David can be contacted via phone (270) 230-0124.Contact Information
Primary practice address
908 Wallace Ave
Leitchfield KY 42754-1479
Phone: (270) 230-0124
Fax: (270) 230-0157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD.34424 | Alabama |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 49328 | Kentucky |
Profile Details
| NPI number | 1134488539 |
|---|---|
| LBN Legal business name | Miller, Isaac David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2012 |
| Last updated | Mar 12th, 2020 - about 5 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 | 1134488539 | NPPES |
| Kentucky | MEDICAID | 7100422810 |
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