Miller, Peter D.
Miller, Peter D. is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 200 , Mishawaka IN 46545-1465. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Miller, Peter D. can be contacted via phone (574) 335-6850.Contact Information
Primary practice address
611 E Douglas Rd Ste 200
Mishawaka IN 46545-1465
Phone: (574) 335-6850
Fax: (574) 335-0849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2023032999 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036164494 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01068029A | Indiana |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 01068029A | Indiana |
Profile Details
| NPI number | 1295991081 |
|---|---|
| LBN Legal business name | Miller, Peter D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2008 |
| Last updated | Feb 12th, 2024 - about 10 months 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 | 1295991081 | NPPES |
| Indiana | MEDICAID | 201107820 |
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