Miller, Michael

Miller, Michael is an individual health care provider with primary practice located at 676 Wyoming Ave Suite 104, Kingston PA 18704-3857. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Miller, Michael can be contacted via phone (570) 287-1400.

Contact Information

Primary practice address
676 Wyoming Ave Suite 104 Kingston PA 18704-3857
Phone: (570) 287-1400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS008632L Pennsylvania
Allopathic & Osteopathic Physicians / General Practice 208D00000X 05008632L Pennsylvania

Profile Details

NPI number 1255394714
LBN Legal business name Miller, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Apr 30th, 2019 - about 5 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 1255394714 NPPES
Pennsylvania MEDICAID 001729923

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