Miller, Larry
Miller, Larry is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Miller, Larry can be contacted via phone (715) 387-5511.Contact Information
Primary practice address
1000 N Oak Ave
Marshfield WI 54449-5703
Phone: (715) 387-5511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 88 | Wisconsin |
Profile Details
| NPI number | 1427156702 |
|---|---|
| LBN Legal business name | Miller, Larry |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 29th, 2009 - about 16 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 | 1427156702 | NPPES |
| Wisconsin | MEDICAID | 42915600 |
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