Miele, Ellen

Miele, Ellen is an individual health care provider with primary practice located at 613 Warren Ave , Spring Lake NJ 07762-2038. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miele, Ellen can be contacted via phone (732) 974-1444.

Contact Information

Primary practice address
613 Warren Ave Spring Lake NJ 07762-2038
Fax: (732) 974-1140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA05915600 New Jersey

Profile Details

NPI number 1154406361
LBN Legal business name Miele, Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154406361 NPPES
New Jersey MEDICAID 6211500

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