Miles, Jennifer J.
Miles, Jennifer J. is an individual health care provider with primary practice located at 201 Saint Ann Dr , Mandeville LA 70471-3471. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miles, Jennifer J. can be contacted via phone (985) 898-4001.Contact Information
Primary practice address
201 Saint Ann Dr
Mandeville LA 70471-3471
Phone: (985) 898-4001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 022695 | Louisiana |
Profile Details
| NPI number | 1275541641 |
|---|---|
| LBN Legal business name | Miles, Jennifer J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Dec 16th, 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 | 1275541641 | NPPES |
| Louisiana | MEDICAID | 1492116 |
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