Miller, Jay James
Miller, Jay James is an individual health care provider with primary practice located at 107 N Regency Dr Suite 2, Bloomington IL 61701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Miller, Jay James can be contacted via phone (309) 665-0900.Contact Information
Primary practice address
107 N Regency Dr Suite 2
Bloomington IL 61701
Phone: (309) 665-0900
Fax: (309) 665-0901
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036-108046 | Illinois |
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 036-108046 | Illinois |
Profile Details
NPI number | 1003915968 |
---|---|
LBN Legal business name | Miller, Jay James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2006 |
Last updated | Jan 3rd, 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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