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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699733816 NPPES
Pennsylvania MEDICAID 1013095000001

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