Miles, Mark A
Miles, Mark A is an individual health care provider with primary practice located at 332 N Lauderdale St , Memphis TN 38105-2794. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Miles, Mark A can be contacted via phone (901) 495-3006.Contact Information
Primary practice address
332 N Lauderdale St
Memphis TN 38105-2794
Phone: (901) 495-3006
Fax: (901) 495-3842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2302 | Tennessee |
Profile Details
| NPI number | 1053306159 |
|---|---|
| LBN Legal business name | Miles, Mark A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1053306159 | NPPES |
| Tennessee | MEDICAID | 5440556 |
Popular Providers
-
Hoffmann, Melissa L
1910 Nonconnah Blvd Suite 120, Memphis TN 38132-2113 -
Parris, Kendra
262 Danny Thomas Pl , Memphis TN 38105-3678 -
Crabtree, Valerie M
262 Danny Thomas Pl , Memphis TN 38105-3678 -
Kronenberg, Mindy E
5583 Murray Rd Ste 208, Memphis TN 38119-3841 -
Wilkins, Megan L
262 Danny Thomas Pl , Memphis TN 38105-3678 -
Geter, Jennifer L
1407 Union Ave Suite 709, Memphis TN 38104-3641 -
Sharp, Katianne Marie Howard
262 Danny Thomas Pl , Memphis TN 38105-3678 -
Niel, Kristin
262 Danny Thomas Pl , Memphis TN 38105-3678