Miller, Jack Glenn

Miller, Jack Glenn is an sole proprietor health care provider with primary practice located at 1308 N Stockton Hill Rd Ste A-153 , Kingman AZ 86401-5139. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Naturopath, Other Service Providers / Homeopath. Other Service Providers / Homeopath is his primary health care specialty. Miller, Jack Glenn can be contacted via phone (928) 565-5853.

Contact Information

Primary practice address
1308 N Stockton Hill Rd Ste A-153 Kingman AZ 86401-5139
Phone: (928) 565-5853
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X
Other Service Providers / Homeopath 175L00000X

Profile Details

NPI number 1619274867
LBN Legal business name Miller, Jack Glenn
Credentials CTN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2011
Last updated Jan 25th, 2013 - about 11 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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