Miller, Sheldon

Miller, Sheldon is an sole proprietor health care provider with primary practice located at 15 Beach 105Th St , Rockaway Park NY 11694-2640. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Miller, Sheldon can be contacted via phone (718) 474-0899.

Contact Information

Primary practice address
15 Beach 105Th St Rockaway Park NY 11694-2640
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004644 New York

Profile Details

NPI number 1932280856
LBN Legal business name Miller, Sheldon
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Apr 7th, 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 1932280856 NPPES
New York MEDICAID 01179973

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