Miller, Jeffrey G.

Miller, Jeffrey G. is an individual health care provider with primary practice located at 1155 N Mayfair Rd Department Of Psychiatry, Milwaukee WI 53226-3462. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Miller, Jeffrey G. can be contacted via phone (414) 955-8900.

Contact Information

Primary practice address
1155 N Mayfair Rd Department Of Psychiatry Milwaukee WI 53226-3462
Phone: (414) 955-8900
Fax: (414) 955-6285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 541 Wisconsin

Profile Details

NPI number 1457440919
LBN Legal business name Miller, Jeffrey G.
Credentials A.P.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Oct 17th, 2012 - about 13 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 1457440919 NPPES
Wisconsin MEDICAID 1457440919
Wisconsin Other S47871
Wisconsin MEDICAID 39405100

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