Miller, Jean C

Miller, Jean C is an individual health care provider with primary practice located at 3400 Spruce Street , Philadelphia PA 19104-2614. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Miller, Jean C can be contacted via phone (215) 662-6250.

Contact Information

Primary practice address
3400 Spruce Street Philadelphia PA 19104-2614
Fax: (215) 349-5800
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD062703L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD062703L Pennsylvania

Profile Details

NPI number 1477541381
LBN Legal business name Miller, Jean C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated May 1st, 2019 - about 5 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 1477541381 NPPES
Pennsylvania MEDICAID 0016993320001

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