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:
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Health care specialties

SpecialtyCodeLicense #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 2 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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