Miller, Jonathan D
Miller, Jonathan D is an individual health care provider with primary practice located at 323 E Riverside Dr , Eagle ID 83616-6864. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Miller, Jonathan D can be contacted via phone (208) 367-5300.Contact Information
Primary practice address
323 E Riverside Dr
Eagle ID 83616-6864
Phone: (208) 367-5300
Fax: (208) 367-2692
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M-12426 | Idaho |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD183370 | Oregon |
Profile Details
NPI number | 1376838375 |
---|---|
LBN Legal business name | Miller, Jonathan D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2011 |
Last updated | Sep 7th, 2017 - about 7 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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