Miller, Theodore H
Miller, Theodore H is an individual health care provider with primary practice located at 40 North Grand Ave. Suite 101, Ft. Thomas KY 41075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Miller, Theodore H can be contacted via phone (859) 781-4900.Contact Information
Primary practice address
40 North Grand Ave. Suite 101
Ft. Thomas KY 41075
Phone: (859) 781-4900
Fax: (859) 781-3039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 25084 | Kentucky |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 25084 | Kentucky |
Profile Details
| NPI number | 1720078264 |
|---|---|
| LBN Legal business name | Miller, Theodore H |
| Credentials | M.D., PHD. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Apr 27th, 2018 - about 6 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 | 1720078264 | NPPES |
| Ohio | MEDICAID | 64250848 | |
| Ohio | Other | 000000033216 |
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