| Susan J. Miller, Pllc | |
|
110 Richie Ln Suite C Somerset KY 42503-6128 | |
| (606) 305-3791 | |
| (606) 678-0603 |
| Full Name | Susan J. Miller, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 110 Richie Ln, Somerset, Kentucky |
| Authorized Official Name and Position | Susan J Miller (OWNER) |
| Authorized Official Contact | 6063053791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan J. Miller, Pllc 110 Richie Ln Suite C Somerset KY 42503-6128 Ph: (606) 305-3791 | Susan J. Miller, Pllc 110 Richie Ln Suite C Somerset KY 42503-6128 Ph: (606) 305-3791 |
| NPI Number | 1063724631 |
|---|---|
| Provider Enumeration Date | 07/12/2010 |
| Last Update Date | 07/12/2010 |
| Medicare PECOS PAC ID | 1658404777 |
|---|---|
| Medicare Enrollment ID | O20100727000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063724631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1105 (Kentucky) | Primary |
| Provider Name | Susan J Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962421727 PECOS PAC ID: 8628158342 Enrollment ID: I20080108000491 |
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