Miles, John D

Miles, John D is an individual health care provider with primary practice located at 1 S Keene St , Columbia MO 65201-7199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Miles, John D can be contacted via phone (573) 443-2402.

Contact Information

Primary practice address
1 S Keene St Columbia MO 65201-7199
Fax: (573) 443-0574
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 106454 Missouri

Profile Details

NPI number 1710970306
LBN Legal business name Miles, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Mar 23rd, 2021 - about 3 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 1710970306 NPPES
Missouri MEDICAID 205202302

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