Miller, Isis
Miller, Isis is an individual health care provider with primary practice located at 300 Lackawanna Ave Ste 200 , Scranton PA 18503-2001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Miller, Isis can be contacted via phone (570) 342-7864.Contact Information
Primary practice address
300 Lackawanna Ave Ste 200
Scranton PA 18503-2001
Phone: (570) 342-7864
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD426419 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD426419 | Pennsylvania |
Profile Details
| NPI number | 1699733816 |
|---|---|
| LBN Legal business name | Miller, Isis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Oct 10th, 2022 - about 2 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 | 1699733816 | NPPES |
| Pennsylvania | MEDICAID | 1013095000001 |
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