Miller, Jenelle S
Miller, Jenelle S is an individual health care provider with primary practice located at 8301 Harcourt Rd Suite 200, Indianapolis IN 46260-2081. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Miller, Jenelle S can be contacted via phone (317) 415-6600.Contact Information
Primary practice address
8301 Harcourt Rd Suite 200
Indianapolis IN 46260-2081
Phone: (317) 415-6600
Fax: (317) 415-6649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 01059206 | Indiana |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 01059206 | Indiana |
Profile Details
| NPI number | 1114926060 |
|---|---|
| LBN Legal business name | Miller, Jenelle S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jan 3rd, 2023 - about last year |
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 | 1114926060 | NPPES |
| Indiana | MEDICAID | 200497270 |
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