Miller, Timothy Michael
Miller, Timothy Michael is an sole proprietor health care provider with primary practice located at 1441 Phale D. Hale Dr. , Columbus OH 43203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Miller, Timothy Michael can be contacted via phone (614) 257-3754.Contact Information
Primary practice address
1441 Phale D. Hale Dr.
Columbus OH 43203
Phone: (614) 257-3754
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 001104 | Ohio |
Profile Details
| NPI number | 1528694643 |
|---|---|
| LBN Legal business name | Miller, Timothy Michael |
| Credentials | LSW, LICDC-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2020 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1528694643 | NPPES |
| Other | NONE | ||
| Other | 101010101 |
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