Miller, S David
Miller, S David is an individual health care provider with primary practice located at 49 State Rd Watuppa Building Suite 203, North Dartmouth MA 02747-3300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Other Service Providers / Research Study. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Miller, S David can be contacted via phone (508) 994-0120.Contact Information
Primary practice address
49 State Rd Watuppa Building Suite 203
North Dartmouth MA 02747-3300
Phone: (508) 994-0120
Fax: (508) 996-9636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 74380 | Massachusetts |
| Other Service Providers / Research Study | 1744R1102X | 74380 | Massachusetts |
Profile Details
| NPI number | 1063471126 |
|---|---|
| LBN Legal business name | Miller, S David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Jun 5th, 2013 - about 12 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 | 1063471126 | NPPES |
| Massachusetts | MEDICAID | 3078299 |
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