Miller, Richard J.

Miller, Richard J. is an individual health care provider with primary practice located at 10370 Park Rd Suite 100, Charlotte NC 28210-8508. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Miller, Richard J. can be contacted via phone (704) 542-8253.

Contact Information

Primary practice address
10370 Park Rd Suite 100 Charlotte NC 28210-8508
Phone: (704) 542-8253
Fax: (704) 541-0186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 143 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 143 North Carolina

Profile Details

NPI number 1194723809
LBN Legal business name Miller, Richard J.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 9th, 2009 - about 15 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 1194723809 NPPES
North Carolina MEDICAID 8908123

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