Miles, Theodore Philip
Miles, Theodore Philip is an sole proprietor health care provider with primary practice located at 1355 W Bloomfield Rd , Bloomington IN 47403-2051. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Miles, Theodore Philip can be contacted via phone (812) 558-0574.Contact Information
Primary practice address
1355 W Bloomfield Rd
Bloomington IN 47403-2051
Phone: (812) 558-0574
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C2-1990 | Indiana |
Profile Details
| NPI number | 1013593342 |
|---|---|
| LBN Legal business name | Miles, Theodore Philip |
| Credentials | CADAC II |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2021 |
| Last updated | Mar 18th, 2021 - 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.
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