Miller, John Irving
Miller, John Irving is an individual health care provider with primary practice located at 1650 Grand Concourse , Bronx NY 10457-7606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Miller, John Irving can be contacted via phone (718) 901-8988.Contact Information
Primary practice address
1650 Grand Concourse
Bronx NY 10457-7606
Phone: (718) 901-8988
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 160105 | New York |
Profile Details
| NPI number | 1285788265 |
|---|---|
| LBN Legal business name | Miller, John Irving |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Aug 13th, 2021 - about 3 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 | 1285788265 | NPPES |
| New York | MEDICAID | 01027412 |
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