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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063471126 NPPES
Massachusetts MEDICAID 3078299

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