Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | C10003055 | DE |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | C10003055 | DE |
NPI | 1992897789 |
---|---|
Provider Name | Dr. Freeman Miller |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 24/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001197519 | (05) | PA |
01539500 | (05) | NY |
5034302 | (05) | NJ |
6454411 | (05) | VA |
7610289 | (05) | NC |
7703511 | (05) | MD |
9840776000 | (05) | WV |
C24678 | (02) |