Miller, Michael M

Miller, Michael M is an individual health care provider with primary practice located at 1114 E Weisgarber Rd Ste A, Knoxville TN 37909-2648. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Miller, Michael M can be contacted via phone (865) 588-1833.

Contact Information

Primary practice address
1114 E Weisgarber Rd Ste A Knoxville TN 37909-2648
Phone: (865) 588-1833
Fax: (865) 588-8057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD0000010997 Tennessee
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MD10997 Tennessee
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD10997 Tennessee

Profile Details

NPI number 1356307490
LBN Legal business name Miller, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 8th, 2018 - about 6 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 1356307490 NPPES
Tennessee Other 100011924 PHP TENNCARE
Tennessee MEDICAID 31655207 PHP TENNCARE
Tennessee Other 2007597 PHP TENNCARE
Tennessee Other 11377084 PHP TENNCARE

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