Miller, Jena Lyn

Miller, Jena Lyn is an individual health care provider with primary practice located at 600 N Wolfe St Nelson 228, Baltimore MD 21287-0005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Miller, Jena Lyn can be contacted via phone (443) 287-9480.

Contact Information

Primary practice address
600 N Wolfe St Nelson 228 Baltimore MD 21287-0005
Fax: (410) 614-1617
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 0101247584 Virginia
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X D65575 Maryland

Profile Details

NPI number 1992916936
LBN Legal business name Miller, Jena Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Mar 30th, 2015 - about 9 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 1992916936 NPPES
Virginia Other 411596 ANTHEM
Virginia Other PAR ANTHEM
Virginia Other PAR ANTHEM
Virginia Other 1992916936 ANTHEM
Virginia Other PAR ANTHEM
Virginia MEDICAID 1992916936 ANTHEM
Virginia Other PAR ANTHEM
Virginia Other -010 ANTHEM
Virginia Other PAR ANTHEM
Virginia Other 1992916936 ANTHEM
Virginia Other 1992916936 ANTHEM
Virginia Other 10063694 ANTHEM
Virginia MEDICAID 1992916936 ANTHEM
Virginia Other PAR ANTHEM

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