Miles, Douglas R

Miles, Douglas R is an individual health care provider with primary practice located at 2626 Alexandria Pike , Highland Heights KY 41076-1530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miles, Douglas R can be contacted via phone (869) 781-4111.

Contact Information

Primary practice address
2626 Alexandria Pike Highland Heights KY 41076-1530
Phone: (869) 781-4111
Fax: (859) 441-5214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22224 Kentucky

Profile Details

NPI number 1841234804
LBN Legal business name Miles, Douglas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Apr 22nd, 2020 - about 4 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 1841234804 NPPES
Kentucky MEDICAID 64222243
Kentucky Other P00873401
Kentucky MEDICAID 0105666
Kentucky Other 080092532

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