Miller, Jeffrey B

Miller, Jeffrey B is an individual health care provider with primary practice located at 2600 Tuscarawas St W Ste 100, Canton OH 44708-4696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Miller, Jeffrey B can be contacted via phone (330) 452-8844.

Contact Information

Primary practice address
2600 Tuscarawas St W Ste 100 Canton OH 44708-4696
Fax: (330) 452-7012
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 35-047519 Ohio
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35-047519 Ohio

Profile Details

NPI number 1083617724
LBN Legal business name Miller, Jeffrey B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated Jan 5th, 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 1083617724 NPPES
Ohio Other 341574729029 CARESOURCE
Ohio Other 000000182183 CARESOURCE
Ohio MEDICAID 0486675 CARESOURCE
Ohio Other 341574729C CARESOURCE
Ohio Other 000000134423 CARESOURCE
Ohio Other 733558 CARESOURCE
Ohio Other Q015961D CARESOURCE

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