Miller, James R

Miller, James R is an individual health care provider with primary practice located at 1753 Fulton St , Elkhart IN 46514-1927. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Miller, James R can be contacted via phone (574) 389-9881.

Contact Information

Primary practice address
1753 Fulton St Elkhart IN 46514-1927
Phone: (574) 389-9881
Fax: (574) 389-9884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01018808A Indiana

Profile Details

NPI number 1215936737
LBN Legal business name Miller, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jun 20th, 2011 - about 14 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 1215936737 NPPES
Indiana MEDICAID 100111270
Indiana Other 000000545669
Indiana Other 000000551983
Indiana Other 000000109323
Indiana MEDICAID 100111270A

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