Miller, Timothy

Miller, Timothy is an sole proprietor health care provider with primary practice located at 17431 N 71St Dr Ste 103, Glendale AZ 85308-8598. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Miller, Timothy can be contacted via phone (480) 521-6586.

Contact Information

Primary practice address
17431 N 71St Dr Ste 103 Glendale AZ 85308-8598
Phone: (480) 521-6586
Fax: (623) 242-7856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP3087 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP2246 Arizona

Profile Details

NPI number 1700866852
LBN Legal business name Miller, Timothy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Jul 13th, 2016 - about 8 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 1700866852 NPPES
Arizona Other 96322 AHCCCS NUMBER

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