Miller, Lester D

Miller, Lester D is an sole proprietor health care provider with primary practice located at 622 Frederick St , Santa Cruz CA 95062-2203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Miller, Lester D can be contacted via phone (831) 458-0941.

Contact Information

Primary practice address
622 Frederick St Santa Cruz CA 95062-2203
Fax: (831) 458-0943
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G36498 California

Profile Details

NPI number 1053463935
LBN Legal business name Miller, Lester D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 18 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 1053463935 NPPES
California MEDICAID 00G364980

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