Miller, Susan Lee

Miller, Susan Lee is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1873. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Miller, Susan Lee can be contacted via phone (937) 641-3000.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1873
Phone: (937) 641-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.09262-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X COA.09262 Ohio

Profile Details

NPI number 1073639027
LBN Legal business name Miller, Susan Lee
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Nov 22nd, 2019 - about 6 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 1073639027 NPPES
Ohio MEDICAID 3028637

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