Miller, Jeffrey Wayne
Miller, Jeffrey Wayne is an sole proprietor health care provider with primary practice located at 330 N Wabash Ave Ste 370 , Marion IN 46952-2678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Miller, Jeffrey Wayne can be contacted via phone (765) 660-7500.Contact Information
Primary practice address
330 N Wabash Ave Ste 370
Marion IN 46952-2678
Phone: (765) 660-7500
Fax: (765) 662-4724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 02001695 | Indiana |
Profile Details
| NPI number | 1285682625 |
|---|---|
| LBN Legal business name | Miller, Jeffrey Wayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Oct 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285682625 | NPPES |
| Indiana | MEDICAID | 200321850A | |
| Indiana | Other | 000000897778 |
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