Miller, Jason R.

Miller, Jason R. is an individual health care provider with primary practice located at 3300 High St Suite 1, Portsmouth VA 23707-3321. 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, Jason R. can be contacted via phone (757) 397-0783.

Contact Information

Primary practice address
3300 High St Suite 1 Portsmouth VA 23707-3321
Phone: (757) 397-0783
Fax: (757) 397-0236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001952 Virginia

Profile Details

NPI number 1992727051
LBN Legal business name Miller, Jason R.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Apr 8th, 2010 - about 16 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 1992727051 NPPES
Virginia MEDICAID 010239770
Virginia Other P00799175
Virginia Other P00193130

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