MEDICARE: ANNE M. MILLER D.O. & ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	34006621	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780703181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE M. MILLER D.O. & ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	7755 PARAGON RD
Second Line	:	SUITE 109
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-4055
Country	:	US
Telephone Number	:	937-432-0766
Fax Number	:	937-432-0768

Provider Business Practice Location Address
First Line	:	7755 PARAGON RD
Second Line	:	SUITE 109
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-4055
Country	:	US
Telephone Number	:	937-432-0766
Fax Number	:	937-432-0768

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANNE M MILLER
Credential	:	D.O.
Telephone Number	:	937-432-0766

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	08/17/2011

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