Miller, Timothy E
Miller, Timothy E is an sole proprietor health care provider with primary practice located at 4505 Utica Ridge Rd , Bettendorf IA 52722-1641. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Miller, Timothy E can be contacted via phone (563) 344-4206.Contact Information
Primary practice address
4505 Utica Ridge Rd
Bettendorf IA 52722-1641
Phone: (563) 344-4206
Fax: (563) 344-4209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X |
Profile Details
| NPI number | 1972500346 |
|---|---|
| LBN Legal business name | Miller, Timothy E |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Mar 27th, 2017 - about 7 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 | 1972500346 | NPPES |
| Illinois | MEDICAID | 421429042001 | |
| Illinois | MEDICAID | 0118281 |
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