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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700866852 | NPPES |
| Arizona | Other | 96322 | AHCCCS NUMBER |
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