Mr Dennis Alan Miller, ATC/PT is a
Specialist/technologist - Athletic Trainer based in W Lafayette, Indiana. Mr Dennis Alan Miller is licensed to practice in Indiana (license number 36000087A) and his current practice location is
900 N University St # B-63, Purdue University, W Lafayette, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 494-3245.
NPI number for Mr Dennis Alan Miller is 1972511053 and his current mailing address is 4038 Ridgefield Ct, W Lafayette, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972511053.
Healthcare Provider's Profile
Full Name | Mr Dennis Alan Miller |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 900 N University St # B-63, W Lafayette, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972511053
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Dennis Alan Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972511053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 05000723A (Indiana) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 36000087A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dennis Alan Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Dennis Alan Miller, ATC/PT 4038 Ridgefield Ct, W Lafayette, IN 47906-5276 Ph: (765) 494-3245 | Mr Dennis Alan Miller, ATC/PT 900 N University St # B-63, Purdue University, W Lafayette, IN 47907-2070 Ph: (765) 494-3245 |
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