Provider Demographics
NPI:1568226298
Name:MILLER, BUFORD
Entity Type:Individual
Prefix:
First Name:BUFORD
Middle Name:
Last Name:MILLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 BEAR CREEK DR APT 510
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2921
Mailing Address - Country:US
Mailing Address - Phone:440-850-4650
Mailing Address - Fax:
Practice Address - Street 1:6000 BEAR CREEK DR APT 510
Practice Address - Street 2:
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-2921
Practice Address - Country:US
Practice Address - Phone:440-850-4650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide