Miller, Jennifer Lee
Miller, Jennifer Lee is an individual health care provider with primary practice located at 4184 Miller St , Williamson NY 14589-9713. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Miller, Jennifer Lee can be contacted via phone (315) 589-9665.Contact Information
Primary practice address
4184 Miller St
Williamson NY 14589-9713
Phone: (315) 589-9665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 555175-1 | New York |
Profile Details
| NPI number | 1104196658 |
|---|---|
| LBN Legal business name | Miller, Jennifer Lee |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2011 |
| Last updated | Dec 30th, 2011 - about 13 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 | 1104196658 | NPPES |
| New York | MEDICAID | 01391079 |
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