National Provider Identifier Database

WAYNE R MILLER MD
Rural Health


Contact Information

WAYNE R MILLER MD
255 W SPRUCE ST
SHAMOKIN, PA17872-5811
Phone: 570-644-5050
Fax: 570-644-2378
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for WAYNE R MILLER MD

NPI Number 1093872038
Legal business name
LBN
WAYNE R MILLER MD
Authorized official WAYNE MILLER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/02/2007
Last updated 01/09/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: MD042431L
  • PA Medicaid: 0015644200005

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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