Miller, Theresa L

Miller, Theresa L is an individual health care provider with primary practice located at 22 N Medical Park Dr , Fishersville VA 22939-2344. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Miller, Theresa L can be contacted via phone (540) 213-2630.

Contact Information

Primary practice address
22 N Medical Park Dr Fishersville VA 22939-2344
Phone: (540) 213-2630
Fax: (540) 213-2631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101051765 Virginia

Profile Details

NPI number 1275506446
LBN Legal business name Miller, Theresa L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jan 3rd, 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 1275506446 NPPES
Virginia Other 700011406 CIGNA
Virginia Other 285567 CIGNA
Virginia Other 142720 CIGNA
Virginia MEDICAID 005853575 CIGNA
Virginia Other 2182360 CIGNA
Virginia Other 41819 CIGNA
Virginia Other 5853575 CIGNA

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