Miller, Stephen J

Miller, Stephen J is an individual health care provider with primary practice located at 1500 Continental Pl , Mount Vernon WA 98273-4105. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Miller, Stephen J can be contacted via phone (360) 424-7041.

Contact Information

Primary practice address
1500 Continental Pl Mount Vernon WA 98273-4105
Fax: (360) 424-8449
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO00000233 Washington

Profile Details

NPI number 1083613277
LBN Legal business name Miller, Stephen J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 8th, 2007 - about 18 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 1083613277 NPPES
Washington MEDICAID 1872506
Washington Other 57751

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