Miller, Timothy Justin

Miller, Timothy Justin is an individual health care provider with primary practice located at 8926 Woodyard Rd Ste 301, Clinton MD 20735-4220. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Miller, Timothy Justin can be contacted via phone (301) 856-3670.

Contact Information

Primary practice address
8926 Woodyard Rd Ste 301 Clinton MD 20735-4220
Phone: (301) 856-3670
Fax: (301) 868-0129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H0081237 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 19096 North Dakota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15141C Wyoming
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0102202428 Virginia

Profile Details

NPI number 1821399239
LBN Legal business name Miller, Timothy Justin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2010
Last updated Dec 28th, 2023 - about last year

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 1821399239 NPPES
Maryland MEDICAID 922303700
Maryland MEDICAID 1821399239

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