Individual
MR. WILLIAM NEAL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1 EAST BEACON LIGHT LANE, SUITE B, CHESTER, PA 19013-4433
(610) 490-3900
(610) 490-3912
Mailing address
PO BOX 373, FOLSOM, PA 19033-1332
(610) 490-3910
(610) 490-3904
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT0002796L
PA
225100000X
Physical Therapist
PT0002796L
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001777981
HIGHMARK BLUESHIELD
PA
01
—
0761058000
INDEPENDENCE BLUE CROSS
PW
01
—
0761058000
IBC
—
Enumeration date
12/11/2006
Last updated
04/06/2012
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