Miller, Randall W.
Miller, Randall W. is an sole proprietor health care provider with primary practice located at 1170 Clifton Ave , Clifton NJ 07013-3622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Randall W. can be contacted via phone (973) 472-0220.Contact Information
Primary practice address
1170 Clifton Ave
Clifton NJ 07013-3622
Phone: (973) 472-0220
Fax: (973) 779-5306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35137 | New Jersey |
Profile Details
| NPI number | 1740342575 |
|---|---|
| LBN Legal business name | Miller, Randall W. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Apr 3rd, 2008 - about 16 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 | 1740342575 | NPPES |
| New Jersey | Other | 0675510001 | DMERC |
| New Jersey | MEDICAID | 3304507 | DMERC |
| New Jersey | Other | 0675510001 | DMERC |
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