Miller, Jacob Daniel

Miller, Jacob Daniel is an sole proprietor health care provider with primary practice located at 106 Fairview Dr Apt 103 , Slippery Rock PA 16057-1542. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Miller, Jacob Daniel can be contacted via phone (330) 221-0835.

Contact Information

Primary practice address
106 Fairview Dr Apt 103 Slippery Rock PA 16057-1542
Phone: (330) 221-0835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1063135960
LBN Legal business name Miller, Jacob Daniel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2022
Last updated Sep 26th, 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.

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