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
Phone: (972) 270-7627
Fax: (972) 270-7759
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 0425 | Texas |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0425 | Texas |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326073115 | NPPES |
Texas | MEDICAID | 0018779101 |
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