Miller, Nicholas Jay

Miller, Nicholas Jay is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Miller, Nicholas Jay can be contacted via phone (913) 660-1616.

Contact Information

Primary practice address
9100 W 74Th St Shawnee Mission KS 66204-4004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2016007201 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 05-40104 Kansas

Profile Details

NPI number 1992123061
LBN Legal business name Miller, Nicholas Jay
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2014
Last updated Feb 7th, 2024 - about last year

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 1992123061 NPPES
Missouri MEDICAID 1992123061
Missouri MEDICAID 201169390A

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