Miles, Janice L
Miles, Janice L is an sole proprietor health care provider with primary practice located at 3418 Main St , Moss Point MS 39563-5102. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Miles, Janice L can be contacted via phone (228) 474-6111.Contact Information
Primary practice address
3418 Main St
Moss Point MS 39563-5102
Phone: (228) 474-6111
Fax: (361) 576-4219
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | DO16488 | Mississippi |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO16488 | Mississippi |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | DO16488 | Mississippi |
Profile Details
NPI number | 1295710598 |
---|---|
LBN Legal business name | Miles, Janice L |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 8th, 2005 |
Last updated | Nov 18th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295710598 | NPPES |
Other | 640934949 | TAX ID # | |
MEDICAID | 00121255 | TAX ID # |
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