Miller, Thomas
Miller, Thomas is an individual health care provider with primary practice located at 490 Blue Hills Ave Rehab, Hartford CT 06112-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Miller, Thomas can be contacted via phone (860) 714-2647.Contact Information
Primary practice address
490 Blue Hills Ave Rehab
Hartford CT 06112-1513
Phone: (860) 714-2647
Fax: (860) 714-8517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 039407 | Connecticut |
Profile Details
| NPI number | 1851399794 |
|---|---|
| LBN Legal business name | Miller, Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Mar 31st, 2014 - about 11 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 | 1851399794 | NPPES |
| Connecticut | MEDICAID | 001394072 |
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