Miller, Michael Jan

Miller, Michael Jan is an individual health care provider with primary practice located at 1675 Republic Pkwy Suite 101, Mesquite TX 75150-6903. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Miller, Michael Jan can be contacted via phone (972) 270-7627.

Contact Information

Primary practice address
1675 Republic Pkwy Suite 101 Mesquite TX 75150-6903
Fax: (972) 270-7759
Website:

Health care specialties

Profile Details

NPI number 1326073115
LBN Legal business name Miller, Michael Jan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326073115 NPPES
Texas MEDICAID 0018779101

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