Miller, Jada
Miller, Jada is an individual health care provider with primary practice located at 2122 S 114Th Ln , Avondale AZ 85323-9184. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Miller, Jada can be contacted via phone (623) 703-2834.Contact Information
Primary practice address
2122 S 114Th Ln
Avondale AZ 85323-9184
Phone: (623) 703-2834
Fax: (623) 478-1863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 3924598 | Arizona |
Profile Details
| NPI number | 1649466541 |
|---|---|
| LBN Legal business name | Miller, Jada |
| Credentials | ED.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2007 |
| Last updated | Jul 9th, 2008 - about 17 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 | 1649466541 | NPPES |
| Arizona | Other | 3924598 | STATE CERTIFICATION |
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