Provider Demographics
NPI:1316925399
Name:MILLER, ELAINE A (DPM)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:A
Last Name:MILLER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:
Other - Last Name:SPRINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3616 APPLEBUTTER RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18917-9711
Mailing Address - Country:US
Mailing Address - Phone:215-249-3148
Mailing Address - Fax:215-249-1546
Practice Address - Street 1:3616 APPLEBUTTER RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:PA
Practice Address - Zip Code:18917-9711
Practice Address - Country:US
Practice Address - Phone:215-249-3148
Practice Address - Fax:215-249-1546
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001232L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0023094000OtherIBC PPO
1138350OtherKEYSTONE MERCY
048529Medicare ID - Type Unspecified
0023094000OtherIBC PPO