Miller, Thomas Lee

Miller, Thomas Lee is an sole proprietor health care provider with primary practice located at 1500 W Maumee St , Angola IN 46703-8605. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Miller, Thomas Lee can be contacted via phone (260) 665-8494.

Contact Information

Primary practice address
1500 W Maumee St Angola IN 46703-8605
Phone: (260) 665-8494
Fax: (260) 668-5690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 200185720A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01033506A Indiana

Profile Details

NPI number 1326048802
LBN Legal business name Miller, Thomas Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2005
Last updated Mar 10th, 2015 - about 9 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 1326048802 NPPES
Indiana MEDICAID 100225670
Indiana MEDICAID 200185720A

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