Miller, Thomas J
Miller, Thomas J is an individual health care provider with primary practice located at 2805 Libal St. Ste. C, Green Bay WI 54301-2877. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Miller, Thomas J can be contacted via phone (920) 339-8980.Contact Information
Primary practice address
2805 Libal St. Ste. C
Green Bay WI 54301-2877
Phone: (920) 339-8980
Fax: (920) 339-0133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4298 | Iowa |
Profile Details
| NPI number | 1760548614 |
|---|---|
| LBN Legal business name | Miller, Thomas J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1760548614 | NPPES |
| Wisconsin | MEDICAID | 33708700 |
Popular Providers
-
Carter, Jill Mary
2926 Finger Rd , Green Bay WI 54311-7548 -
Brusky, David J.
410 Security Blvd , Green Bay WI 54313-9705 -
Vande Walle, Mark Robert
1711 Shawano Ave , Green Bay WI 54303 -
Gesker, Richard W.
430 Main St , Green Bay WI 54301-5115 -
Graf, Zachary Adam
1711 Shawano Ave , Green Bay WI 54303 -
Lasnoski, Joseph William
138 Siegler St , Green Bay WI 54303 -
Kollath, Paul A
2805 Libal St. Ste. C, Green Bay WI 54301-2877 -
Villwock, Robert Melvin
1401 Kingston Terrace , Green Bay WI 54302-5405