Pelletier, Maureen Miller

Pelletier, Maureen Miller is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Pelletier, Maureen Miller can be contacted via phone (859) 301-2440.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017
Phone: (859) 301-2440
Fax: (859) 301-2493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 27524 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 27524 Kentucky

Profile Details

NPI number 1043206956
LBN Legal business name Pelletier, Maureen Miller
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Sep 6th, 2018 - about 7 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 1043206956 NPPES
Kentucky MEDICAID 64275241
Kentucky MEDICAID 2678866

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