Miller, Richard Andrew

Miller, Richard Andrew is an individual health care provider with primary practice located at 7301 N Knoxville Ave , Peoria IL 61614-2017. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Miller, Richard Andrew can be contacted via phone (309) 589-5900.

Contact Information

Primary practice address
7301 N Knoxville Ave Peoria IL 61614-2017
Phone: (309) 589-5900
Fax: (309) 689-0312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001469 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085001469 Illinois

Profile Details

NPI number 1508998105
LBN Legal business name Miller, Richard Andrew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Dec 4th, 2023 - about last year

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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