Miller, Jacob Matthew

Miller, Jacob Matthew is an individual health care provider with primary practice located at 1316 S Main St , Clarion IA 50525-2019. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Miller, Jacob Matthew can be contacted via phone (515) 532-2811.

Contact Information

Primary practice address
1316 S Main St Clarion IA 50525-2019
Phone: (515) 532-2811
Fax: (515) 532-9336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 43-557316-021 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D142357 Iowa

Profile Details

NPI number 1992110498
LBN Legal business name Miller, Jacob Matthew
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Dec 19th, 2016 - about 8 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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