Miller, John D

Miller, John D is an individual health care provider with primary practice located at 26750 Providence Pkwy Suite 130, Novi MI 48374-1211. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Miller, John D can be contacted via phone (248) 348-5300.

Contact Information

Primary practice address
26750 Providence Pkwy Suite 130 Novi MI 48374-1211
Phone: (248) 348-5300
Fax: (248) 348-5410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X JM002024 Michigan
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X JM002024 Michigan

Profile Details

NPI number 1750367009
LBN Legal business name Miller, John D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 3rd, 2011 - about 14 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 1750367009 NPPES
Michigan Other 136049 CARE CHOICES
Michigan Other U85106 CARE CHOICES
Michigan Other 480F372470 CARE CHOICES
Michigan MEDICAID 4454647 CARE CHOICES
Michigan Other 75232394 CARE CHOICES
Michigan Other 14629 CARE CHOICES

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