Miller, Jeffrey S
Miller, Jeffrey S is an individual health care provider with primary practice located at 516 Delaware St Se Suite 5-100, Clinic 5B University Of Minnesota Physicia, Minneapolis MN 55455-0356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Miller, Jeffrey S can be contacted via phone (612) 273-2800.Contact Information
Primary practice address
516 Delaware St Se Suite 5-100, Clinic 5B University Of Minnesota Physicia
Minneapolis MN 55455-0356
Phone: (612) 273-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 34245 | Minnesota |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 34245 | Minnesota |
Profile Details
| NPI number | 1053497198 |
|---|---|
| LBN Legal business name | Miller, Jeffrey S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Oct 26th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053497198 | NPPES |
| Wisconsin | MEDICAID | 31841700 | |
| Wisconsin | Other | 36-24570 | |
| Wisconsin | Other | 768266 | |
| Wisconsin | Other | HP22080 | |
| Wisconsin | MEDICAID | 0507764 | |
| Wisconsin | Other | 100800 | |
| Wisconsin | MEDICAID | 0058599 | |
| Wisconsin | MEDICAID | 975007000 | |
| Wisconsin | Other | 8D667MI | |
| Wisconsin | Other | 1009243 | |
| Wisconsin | Other | 36-00271 |
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University Of Minnesota Physicians 516 Delaware Street Se, Suite 5-100, Clinic 5B, Minneapolis MN 55455