Miller, Jere Alan

Miller, Jere Alan is an sole proprietor health care provider with primary practice located at 4060 Huerfano Ave #312, San Diego CA 92117-5207. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Miller, Jere Alan can be contacted via phone (858) 560-7270.

Contact Information

Primary practice address
4060 Huerfano Ave #312 San Diego CA 92117-5207
Phone: (858) 560-7270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2470 California

Profile Details

NPI number 1740253368
LBN Legal business name Miller, Jere Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Mar 4th, 2009 - about 15 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 1740253368 NPPES
California MEDICAID E000002470

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