Individual
MR. EMERSON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 N. MAIN ST., NORTH BEND, IN 46601
(574) 246-1244
(574) 246-1250
Mailing address
330 W LEXINGTON AVE, SUITE 206, ELKHART, IN 46516
(574) 293-5991
(574) 293-5429
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34003636A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000242586
BCBS
IN
Enumeration date
11/17/2006
Last updated
07/08/2007
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