Miller, Wayne Robert
Miller, Wayne Robert is an individual health care provider with primary practice located at 255 W Spruce St , Shamokin PA 17872-5811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miller, Wayne Robert can be contacted via phone (570) 644-5050.Contact Information
Primary practice address
255 W Spruce St
Shamokin PA 17872-5811
Phone: (570) 644-5050
Fax: (570) 644-2798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD042431L | Pennsylvania |
Profile Details
| NPI number | 1629039995 |
|---|---|
| LBN Legal business name | Miller, Wayne Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Feb 22nd, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629039995 | NPPES |
| Pennsylvania | MEDICAID | 001206879 |
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