Miller, Jesse Julian
Miller, Jesse Julian is an individual health care provider with primary practice located at 1850 E Park Ave Ste 112 , State College PA 16803-6706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Miller, Jesse Julian can be contacted via phone (800) 243-1455.Contact Information
Primary practice address
1850 E Park Ave Ste 112
State College PA 16803-6706
Phone: (800) 243-1455
Fax: (814) 863-7803
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 84645 | South Carolina |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD479129 | Pennsylvania |
Profile Details
NPI number | 1114373131 |
---|---|
LBN Legal business name | Miller, Jesse Julian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2016 |
Last updated | Apr 20th, 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.
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