Miller, Jeffrey R

Miller, Jeffrey R is an individual health care provider with primary practice located at 1305 N Elm St , Henderson KY 42420-2783. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Miller, Jeffrey R can be contacted via phone (812) 485-4415.

Contact Information

Primary practice address
1305 N Elm St Henderson KY 42420-2783
Phone: (812) 485-4415
Fax: (812) 471-6650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 32709 Kentucky
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01052478A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01052478A Indiana

Profile Details

NPI number 1134114960
LBN Legal business name Miller, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Sep 28th, 2020 - about 4 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 1134114960 NPPES
Indiana MEDICAID 200278130
Indiana Other 000000546001
Indiana MEDICAID 64012107
Indiana Other P00476263

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