Miles, John S

Miles, John S is an individual health care provider with primary practice located at 685 E Main St , Peru IN 46970-2637. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Miles, John S can be contacted via phone (765) 472-4930.

Contact Information

Primary practice address
685 E Main St Peru IN 46970-2637
Phone: (765) 472-4930
Fax: (765) 472-4330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000378A Indiana
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 07000378A Indiana
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 07000378A Indiana

Profile Details

NPI number 1477556140
LBN Legal business name Miles, John S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 8th, 2007 - about 18 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 1477556140 NPPES
Indiana Other 000000174145 ANTHEM

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