Nitz, Miles
Nitz, Miles is an sole proprietor health care provider with primary practice located at 10515 Illinois Rd , Fort Wayne IN 46814-9182. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Nitz, Miles can be contacted via phone (260) 373-9200.Contact Information
Primary practice address
10515 Illinois Rd
Fort Wayne IN 46814-9182
Phone: (260) 373-9200
Fax: (260) 373-9219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 35001567A | Indiana |
Profile Details
| NPI number | 1548421928 |
|---|---|
| LBN Legal business name | Nitz, Miles |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2008 |
| Last updated | Nov 15th, 2022 - about 4 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 | 1548421928 | NPPES |
| Indiana | Other | 000000572676 | ANTHEM |
| Indiana | Other | 351972384007 | ANTHEM |
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