Miles, Richard John
Miles, Richard John is an individual health care provider with primary practice located at 1850 Chadwick Dr , Jackson MS 39204-3404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Miles, Richard John can be contacted via phone (904) 805-1300.Contact Information
Primary practice address
1850 Chadwick Dr
Jackson MS 39204-3404
Phone: (904) 805-1300
Fax: (904) 805-1302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 19044 | Mississippi |
Profile Details
| NPI number | 1316987175 |
|---|---|
| LBN Legal business name | Miles, Richard John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Nov 6th, 2009 - about 15 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 | 1316987175 | NPPES |
| Mississippi | MEDICAID | 09621896 | |
| Mississippi | Other | 202011213A | |
| Mississippi | MEDICAID | 1323454 |
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