Miller, Jared

Miller, Jared is an sole proprietor health care provider with primary practice located at 31764 Casino Dr # 200 , Lake Elsinore CA 92530-2312. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Miller, Jared can be contacted via phone (951) 471-4649.

Contact Information

Primary practice address
31764 Casino Dr # 200 Lake Elsinore CA 92530-2312
Phone: (951) 471-4649
Fax: (951) 471-4687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X R1476710722 California
Other Service Providers / Community Health Worker 172V00000X MPSS-QYTVPJ California

Profile Details

NPI number 1205556362
LBN Legal business name Miller, Jared
Credentials RADT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2022
Last updated May 13th, 2024 - about 6 months 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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