Provider Demographics
NPI:1639875784
Name:MILLER, PHILLIP L
Entity Type:Individual
Prefix:
First Name:PHILLIP
Middle Name:L
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 1:2550 THURMONT RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-5357
Mailing Address - Country:US
Mailing Address - Phone:330-836-7307
Mailing Address - Fax:
Practice Address - Street 1:2550 THURMONT RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-5357
Practice Address - Country:US
Practice Address - Phone:330-836-7307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)