Miller, Mary Irene
Miller, Mary Irene is an individual health care provider with primary practice located at One Pomperaug Office Park Suite 104, Southbury CT 06488. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Miller, Mary Irene can be contacted via phone (203) 262-6900.Contact Information
Primary practice address
One Pomperaug Office Park Suite 104
Southbury CT 06488
Phone: (203) 262-6900
Fax: (203) 262-6045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 034922 | Connecticut |
Profile Details
| NPI number | 1063437820 |
|---|---|
| LBN Legal business name | Miller, Mary Irene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063437820 | NPPES |
| Other | LIP063 | OXFORD | |
| Other | OR4281 | OXFORD | |
| Other | 03492Z | OXFORD | |
| Other | 00134922CT07 | OXFORD | |
| Other | 00134922501 | OXFORD | |
| Other | 00134922501 | OXFORD |
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