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Contact Information

CAROL W MILLER
2300 E 30TH ST BLDG D
STE 101
FARMINGTON, NM87401-8990
 Phone: 505-327-1400
 Fax: 505-566-3202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CAROL W MILLER · (Female)

NPI # 1336201136
Status Active
Credentials
Entity Individual
Enumeration date 12/15/2006
Last updated 04/15/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2004-0032
  • NM Medicaid 52889718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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