Miller, Jacob Benjamin
Miller, Jacob Benjamin is an sole proprietor health care provider with primary practice located at 100 Ne Saint Lukes Blvd , Lees Summit MO 64086-6000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Miller, Jacob Benjamin can be contacted via phone (816) 347-5097.Contact Information
Primary practice address
100 Ne Saint Lukes Blvd
Lees Summit MO 64086-6000
Phone: (816) 347-5097
Fax: (816) 347-5045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2011012600 | Missouri |
Profile Details
| NPI number | 1881808061 |
|---|---|
| LBN Legal business name | Miller, Jacob Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jan 29th, 2021 - about 5 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 | 1881808061 | NPPES |
| Missouri | MEDICAID | 1881808061 | |
| Missouri | MEDICAID | 207086307 | |
| Missouri | Other | P01085334 | |
| Missouri | Other | 46511019 |
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