Individual
MR. ERIC MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11090 N 160 RD, OKMULGEE, OK 74447-9180
(918) 260-6299
Mailing address
PO BOX 1862, SAPULPA, OK 74067-1862
(918) 260-6299
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841919594
—
OK
05
—
88-3874303
—
OK
Enumeration date
08/24/2022
Last updated
01/08/2024
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