Miller, Mark Allen
Miller, Mark Allen is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-1510. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Miller, Mark Allen can be contacted via phone (615) 936-2000.Contact Information
Primary practice address
3601 The Vanderbilt Clinic
Nashville TN 37232-1510
Phone: (615) 936-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42244 | Tennessee |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 42244 | Tennessee |
Profile Details
| NPI number | 1699773150 |
|---|---|
| LBN Legal business name | Miller, Mark Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jan 29th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699773150 | NPPES |
| Tennessee | MEDICAID | 3000495 | |
| Tennessee | Other | 5239535 | |
| Tennessee | Other | 4159171 | |
| Tennessee | Other | P00480194 |
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