Miller, John B
Miller, John B is an individual health care provider with primary practice located at 1973 Sloan Pl #225, Maplewood MN 55117-2084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Miller, John B can be contacted via phone (651) 224-1347.Contact Information
Primary practice address
1973 Sloan Pl #225
Maplewood MN 55117-2084
Phone: (651) 224-1347
Fax: (651) 776-0932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 26629 | Minnesota |
Profile Details
| NPI number | 1851335764 |
|---|---|
| LBN Legal business name | Miller, John B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1851335764 | NPPES |
| Wisconsin | MEDICAID | 30766100 |
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