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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1134488539 NPPES
Kentucky MEDICAID 7100422810

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