Miller, Mitchell B

Miller, Mitchell B is an sole proprietor health care provider with primary practice located at 2109 Mccomas Way Ste 102, Virginia Beach VA 23456-3909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Mitchell B can be contacted via phone (757) 563-2800.

Contact Information

Primary practice address
2109 Mccomas Way Ste 102 Virginia Beach VA 23456-3909
Fax: (757) 563-2300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101032190 Virginia

Profile Details

NPI number 1902809437
LBN Legal business name Miller, Mitchell B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2005
Last updated Nov 30th, 2007 - about 17 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 1902809437 NPPES
Virginia Other 080150542 RAILROAD MEDICARE
Virginia MEDICAID 005643350 RAILROAD MEDICARE
Virginia Other 208896 RAILROAD MEDICARE
Virginia Other 37450 RAILROAD MEDICARE

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