Miller, William M

Miller, William M is an sole proprietor health care provider with primary practice located at 220 Grace Church St , Port Chester NY 10573-5162. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Miller, William M can be contacted via phone (914) 939-7828.

Contact Information

Primary practice address
220 Grace Church St Port Chester NY 10573-5162
Fax: (914) 939-4516
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N003771-1 New York

Profile Details

NPI number 1003820655
LBN Legal business name Miller, William M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated May 22nd, 2019 - about 5 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 1003820655 NPPES
New Jersey MEDICAID 1708601

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