Miller, Jason R
Miller, Jason R is an individual health care provider with primary practice located at 910 Adams St Se Ste 215 , Huntsville AL 35801-3759. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Miller, Jason R can be contacted via phone (256) 265-4950.Contact Information
Primary practice address
910 Adams St Se Ste 215
Huntsville AL 35801-3759
Phone: (256) 265-4950
Fax: (256) 265-4949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 05054 | Alabama |
Profile Details
| NPI number | 1205804721 |
|---|---|
| LBN Legal business name | Miller, Jason R |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Dec 22nd, 2011 - about 15 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 | 1205804721 | NPPES |
| Alabama | MEDICAID | 009996805 | |
| Alabama | Other | 051528752 | |
| Alabama | Other | 51117227 | |
| Alabama | MEDICAID | 009996825 | |
| Alabama | Other | 051528751 | |
| Alabama | MEDICAID | 129563 | |
| Alabama | Other | 051528747 | |
| Alabama | Other | 102G700181 | |
| Alabama | MEDICAID | 129559 | |
| Alabama | Other | 051528754 | |
| Alabama | MEDICAID | 009996815 | |
| Alabama | MEDICAID | 009996835 | |
| Alabama | Other | 102I850178 |
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