Miller, Jason Harris

Miller, Jason Harris is an individual health care provider with primary practice located at 77 Schanck Rd # 55 Suite B-3, Freehold NJ 07728-2964. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Miller, Jason Harris can be contacted via phone (732) 462-9800.

Contact Information

Primary practice address
77 Schanck Rd # 55 Suite B-3 Freehold NJ 07728-2964
Fax: (732) 308-1647
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25MA08560500 New Jersey

Profile Details

NPI number 1679712418
LBN Legal business name Miller, Jason Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2009
Last updated Sep 1st, 2009 - about 17 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 1679712418 NPPES
New Jersey Other 158106CVR CMS-MEDICARE GROUP MEMBER PTAN

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