Miles, Jean A

Miles, Jean A is an individual health care provider with primary practice located at 17 E Genesee St Suite #101, Auburn NY 13021-4040. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Miles, Jean A can be contacted via phone (315) 253-5151.

Contact Information

Primary practice address
17 E Genesee St Suite #101 Auburn NY 13021-4040
Phone: (315) 253-5151
Fax: (315) 253-0841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13066 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 013624 New York

Profile Details

NPI number 1528184116
LBN Legal business name Miles, Jean A
Credentials PA-C, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 16th, 2013 - about 12 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 1528184116 NPPES
New York MEDICAID 02399411

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