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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720078264 NPPES
Ohio MEDICAID 64250848
Ohio Other 000000033216

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