Miller, Jared Drew

Miller, Jared Drew is an individual health care provider with primary practice located at 2300 E 30Th St Bldg D Ste 101, Farmington NM 87401-8990. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Miller, Jared Drew can be contacted via phone (505) 327-1400.

Contact Information

Primary practice address
2300 E 30Th St Bldg D Ste 101 Farmington NM 87401-8990
Phone: (505) 327-1400
Fax: (505) 564-3202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2013-0009 New Mexico

Profile Details

NPI number 1649510546
LBN Legal business name Miller, Jared Drew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2013
Last updated Mar 1st, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649510546 NPPES
New Mexico Other PA2013-0009 STATE LIC.

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