Miller, Theresa P.

Miller, Theresa P. is an individual health care provider with primary practice located at 2451 University Hospital Dr Bldg Suite102 , Mobile AL 36617-2300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Miller, Theresa P. can be contacted via phone (251) 471-7844.

Contact Information

Primary practice address
2451 University Hospital Dr Bldg Suite102 Mobile AL 36617-2300
Phone: (251) 471-7844
Fax: (251) 471-7898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-231 Alabama

Profile Details

NPI number 1740228600
LBN Legal business name Miller, Theresa P.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 23rd, 2022 - about 3 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 1740228600 NPPES
Louisiana MEDICAID 1505676
Louisiana MEDICAID 009919425
Louisiana Other 51514409
Louisiana MEDICAID 009913955
Louisiana MEDICAID 07171083
Louisiana MEDICAID 292365300

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